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 (0-3 wks, PWB, circumduction, bike no resistance), Phase II (4-7 wks, progressive WB to FWB, aquatic, hip strengthening), Phase III (8-11 wks, advanced strengthening, sport-specific), Phase IV (12+ wks, return to sport); labral repair: Phase II starts wk 4; osteoplasty only: Phase II starts wk 2

Notes

.edu site; CPG format 2019; covers osteoplasty, labral repair, labral augmentation, labral reconstruction, capsular repair, capsular plication; outcome tools: mHHS, iHOT-33, LEFS, FAAM; return to sport criteria: LSI ≥90%, Vail Sport Test, physician clearance; references 23 citations

Surgeon / Author

OSU Sports Medicine

Published

2019