Hip Arthroscopy / Labral Repair — Hip Arthroscopy for FAI / Labral Repair

Ohio State University Wexner Medical Center · OSU Sports Medicine

Weight-Bearing

PWB 20% foot-flat with crutches x 2 wks; wean off crutches beginning wk 3

Key Restrictions

Avoid any 'pinch' feeling in hip with ROM and exercises; avoid hip flexor/adductor aggravation; limit ER and extension ROM x 4 wks; capsular plication: increased ROM protection early; circumduction or no-resistance upright biking for PROM; proper activation and recruitment of all hip/core musculature required before initiating strengthening

Timeline & Phases

4 phases: Phase I (0-4 wks, early post-op protection, PWB 20% foot-flat with crutches x 2 wks then wean from wk 3, possible hip abduction brace x 2 wks, circumduction or no-resistance upright bike), Phase II (4-8 wks, D/C crutches to pain-free ADLs, restore full PROM/AROM, progressive hip strengthening, pool walking may begin), Phase III (8-12 wks, pain-free ADLs to return to impact, plyometrics once >80% strength and squat 150% BW), Phase IV (3-6+ months, return to run and sport with physician clearance)

Notes

.edu site; CPG format 2019; covers osteoplasty, labral repair, labral augmentation, labral reconstruction, capsular repair, capsular plication; outcome tools: LEFS at each visit, consider Hip Outcome Score (HOS); return to sport criteria: >90% hip strength vs uninvolved side, >90% BW single-leg press, PROs >=90%, physician clearance; references 23 citations

Surgeon / Author

OSU Sports Medicine

Published

2019