Please keep in mind common problems that may arise following hip arthroscopy. The intent of this protocol is to provide guidelines for your patients therapy progression. Post operative hip arthroscopy rehabilitation protocol. The overall goal following hip arthroscopy is to return the patient to their desired level of function with minimal potential for reinjury. Hip arthroscopy rehabilitation physical therapy after arthroscopic hip surgery for femoral acetabular impingement fai surgical description there are 3 types of pathologies involved with femoroacetabular impingement. This protocol iswritten for the treating physical therapist and not to substitute as a home exercise program for patients.
We request that the pt pta atc should use appropriate clinical decision making skills when progressing a. The hip joint allows flexion and extension as well as rotation of the thigh and leg. Santa monica orthopaedic and sports medicine group. Hip arthroscopy postoperative rehabilitation protocol introduction since the early 20th century, when hip arthroscopy was regarded as being almost impossible to undertake, the procedure has developed in leaps and bounds. Rehabilitation following hip arthroscopy request pdf. Hip labral repair protocol the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. Rehabilitation after arthroscopy of an acetabular labral tear. This guideline is designed to progress the individual through rehabilitation to full sportactivity participation. Post operative hip arthroscopy rehabilitation protocol dr.
The socket is formed by the acetabulum, which is part of the large pelvis bone. Rehabilitation will focus on restoring range of motion, developing strength and movement control, and guiding the athletes return to sport. The following document is an evidencebased protocol for hip arthroscopy rehabilitation. Range of motion and weight bearing restrictions must be adhered to during the initial rehab process 4 total weeks of rom and weight bearing restrictions b. We request that the pt pta atc should use appropriate clinical decision making skills when progressing a patient forward. Hip preservation rehabilitation and physical therapy protocol.
Postoperative hip arthroscopy rehabilitation protocol labral repair with or without fai component general pt protocol guidelines this protocol is for the treating therapist and does not substitute as a home exercise program for patients. You may vary in your ability to do these exercises and to progress to full resumption of your previous activity. The intent of this program is to provide guidelines for progression of rehabilitation. Hip arthroscopy postoperative rehabilitation protocol. It is not intended to serve as a recipe for treatment. Iceelevation every 2 hours for 15 minute to minimize edema and promote healing please refer to icing recommendations handout. Rehabilitation guidelines for hip arthroscopy procedures the hip is a ballandsocket joint. If you are unsure whether you had a micro fracture or not, please contact a member of your care team. Hip labral repair protocol arthroscopic surgery louisville. Labral repair with or without fai component for dr. Arthroscopic hip surgery hip arthroscopy chicago, il hip. Jon henry, md hip arthroscopy rehabilitation protocol. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a metal socket with a smooth liner that is attached to. Thomas wuerz labral repair with or without fai component.
Jack skendzels hip arthroscopy rehabilitation protocols. Presently there are many reasons why a surgeon might recommend hip arthroscopy to a patient. Hip arthroscopy rehabilitation protocol unm orthopaedics. The hip allows for multiple motions including flexionextension, abductionadduction and internalexternal rotation but because it is surrounded by an extensive ligamentous and muscular complex, it is a very stable joint.
The ball is the femoral head, which is the upper end of the femur thighbone. Hip implants consist of 1 a smooth ball on a stem that fits into your thigh bone the femoral stem, and 2 a. The rehabilitation guidelines are presented in a criterion based progression. Postoperative hip arthroscopy rehabilitation protocol for dr. Huff hip arthroscopy rehabilitation protocol please use appropriate clinical judgment during all exercise progressions i. Post operative hip arthroscopy rehabilitation protocol for. Post operative hip arthroscopy rehabilitation protocol for dr. Routine hip arthroscopy protocol labral debridement, chondroplasty, synovectomy, loose body removal, ligamentum teres debridement the following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical procedure, healing restraints or patient tolerance. This evidencebased non operative labralfai hip rehabilitation guideline is criterionbased. David hergan labral repair with or without fai component initial joint protection guidelines p. Hip arthroscopy protocols for therapists summit orthopedics. To allow the tendon to heal back to the bone after this procedure, weight bearing and strengthening exercises will be limited in the first postoperative rehabilitation. Pdf with the evolution of hip arthroscopy has come an increased recognition of.
Nonoperative labralfai hip rehabilitation guideline. The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical. Rehabilitation guidelines for hip arthroscopy procedures uw health. Once a patient presents with signs and symptoms of hip pain that are greater than four weeks in conjunction with indicative findings of a labral tear by way of mri or mra, he or she may be considered a good candidate for arthroscopy of the hip joint. Removed at first pt visit, cleansed and bandaids applied exercise recommendations. Hip labrum and fai postsurgical rehabilitation guideline.
There is an overall lack of published outcomes based on patients adhering to various posthip arthroscopy rehabilitation protocols. Hip rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Arthroscopic hip surgery physical therapy protocol the intent of this protocol is to provide guidelines for your patients therapy progression. The specific exercises given in this protocol are provided for guidance, but it is important to use.
Prevent muscular inhibition and gait abnormalities 4. After knee arthroscopy, rehabilitation with a physical therapist or athletic trainer is usually required to optimize the outcome. The physiotherapist must exercise their best professional judgment to determine how to integrate this protocol into an appropriate treatment plan. Hip arthroscopy postoperative physical therapy protocol. This procedure replaces your damaged hip joint with an artificial hip implant. It provides the basic exercises and techniques you will need to. It provides the basic exercises and techniques you will need to guide the patient to return to normal function. Kain md, 4 4 manual scar massage progress rom o hip joint mobilization as needed hip flexor and itb stretching therapeutic exercise continue previous exercise elliptical progress to hip flexion isotonics avoid hip flexor tendonitis leg press bilateral unilateral. Mooks patient following their hip arthroscopic surgery. Perform prom in patients pain free range initiate circumduction right away postop. Barker initial joint protection guidelines po day 14 weeks joint protection patient education o avoid at all times actively lifting or flexing and rotating hip thigh for 23 weeks. Patients can have a cam type impingement, a pincer type, or a combined lesion both cam and pincer. Hip arthroscopy failabral repair protocol the hip is a ball and socket joint comprised of the femur and the acetabulum.
Domb if there are any questions about the protocol or your patients condition. This protocol iswritten for the treating physical therapist and not. Please always use clinical decision makingpatient response vs strict timelines. Given the increase in quantity, complexity, and diversity of procedures. Hip arthroscopy rehabilitation protocol perform prom in patients pain free range flexion extension external rotation internal rotation abduction limited to. Gills office or your physical therapist if you are having a problem with your. Ellman labral repair with or without fai component postoperative pt guidelines patient to be seen 1 3xwk for 12 16 wks. Pdf postoperative rehabilitation guidelines for hip arthroscopy in. Shane nho labral repair with or without fai component. Hip arthroscopy rehabilitation programme the london hip arthroscopy centre the wellington hospital, wellington place, london nw8 9le telephone. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Progress core and lower extremity training that is appropriate for patients current range of.
Hip arthroscopy labral repair 1115 twin cities orthopedics. Hip arthroscopy rehabilitation protocol general guidelines. Your physiotherapist will teach you some hip exercises while you are in the hospital. Rehabilitation following hip arthroscopy is an integral component of the clinical outcome of the procedure. It is important that you continue on with the exercise programme. Rehabilitation after hip arthroscopy andrew wolff, md. Guidelines and pitfalls for the rehabilitation following hip. The protocol is both chronologically and criterion based for advancement throughfour postoperative phases.
Patient will be released from the hospital the same day as surgery. It is recommended that the physical therapist meets with the patient on a weekly or. Pdf rehabilitation following hip arthroscopy a systematic. Soft tissue treatment to quads, posterior musculature, suprapatellar pouch, popliteal fossa, iliotibial band and hoffas fat pad. Arthroscopic gluteus medius repair physical therapy protocol jovan r. Wbat with crutchesmay advance off crutches if no pain and normal gait pattern dressing. Hip arthroscopy labral repair rehabilitation protocol. A comprehensive fivephase rehabilitation programme after hip arthroscopy for femoroacetabular impingement. Joint protection patient education o avoid at all times actively lifting or flexing and rotating hip thigh for 23 weeks. Hip arthroscopy the intent of this program is to provide guidelines for progression of rehabilitation. Additionally, the diverse backgrounds of rehabilitation specialists creates a situation where different treatment. Avoid any anterior hip pain especially in patients who have undergone hip flexor lengthening.
Jon henry, md hip arthroscopy rehabilitation protocol the following document is an evidencebased protocol for hip arthroscopy rehabilitation. Post operative hip arthroscopy rehabilitation protocol labral repair with or without fai component for dr. This protocol is a guideline for your rehabilitation after arthroscopic knee surgery. Hip arthroscopy labral repair rehabilitation protocol jason s. Arthroscopic hip surgery national leader in hip surgery. Restore rom within the restrictions week 1 2 treatments exercises. The protocol is both chronologically and criterion based for. Total hip arthroplasty tha is an elective operative procedure to treat an arthritic hip. Rehabilitation guidelines for hip arthroscopy procedures. Avoid supine straight leg raise, trunk curls with hip flex. Hip arthroscopy rehab programme professor ernest schilders. Initiate hip extension with performance of prone knee flexion. Thank you for continuing the rehabilitation with dr. Rehabilitation protocols vary in timing in that some include a timeline with each phase taking a certain number of weeks while others are based on goal achievement.
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