Rehabilitation Following Hip Arthroscopy â€“ A Systematic Review

Grzybowski, Jeffrey S.; Malloy, Philip; Stegemann, Catherine; Bush‐Joseph, Charles A.; Harris, Joshua D.; Nho, Shane J.

doi:10.3389/fsurg.2015.00021

Cited by 79 publications

(103 citation statements)

References 33 publications

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“…However, reporting of rehabilitation protocol parameters (weight bearing, motion, strengthening and return to sport) was poor [13]. The study concluded that hip arthroscopy rehabilitation guidelines lack high-quality evidence to support a specific protocol.…”

Section: Discussionmentioning

confidence: 99%

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Rath

Sharfman

Paret

et al. 2017

Journal of Hip Preservation Surgery

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The objectives of this study are to survey the weight-bearing limitation practices and delay for returning to running and impact sports of high volume hip arthroscopy orthopedic surgeons. The study was designed in the form of expert survey questionnaire. Evidence-based data are scares regarding hip arthroscopy post-operative weight-bearing protocols. An international cross-sectional anonymous Internet survey of 26 high-volume hip arthroscopy specialized surgeons was conducted to report their weight-bearing limitations and rehabilitation protocols after various arthroscopic hip procedures. The International Society of Hip Arthroscopy invited this study. The results were examined in the context of supporting literature to inform the studies suggestions. Four surgeons always allow immediate weight bearing and five never offer immediate weight bearing. Seventeen surgeons provide weight bearing depending on the procedures performed: 17 surgeons allowed immediate weight bearing after labral resection, 10 after labral repair and 8 after labral reconstruction. Sixteen surgeons allow immediate weight bearing after psoas tenotomy. Twenty-one respondents restrict weight bearing after microfracture procedures for 3–8 weeks post-operatively. Return to running and impact sports were shorter for labral procedures and bony procedures and longer for cartilaginous and capsular procedures. Marked variability exists in the post-operative weight-bearing practices of hip arthroscopy surgeons. This study suggests that most surgeons allow immediate weight bearing as tolerated after labral resection, acetabular osteoplasty, chondroplasty and psoas tenotomy. For cartilage defect procedures, 6 weeks or more non-weight bearing is suggested depending on the area of the defect and lateral central edge angle. Delayed return to sports activities is suggested after microfracture procedures. The level of evidence was Level V expert opinions.

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Section: Discussionmentioning

confidence: 99%

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Rath

Sharfman

Paret

et al. 2017

Journal of Hip Preservation Surgery

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“…Postoperative multidisciplinary (MDT) rehabilitation was a critical element to the treatment pathway and is detailed below as recommended by Grzybowski et al, 16 and in line with Wahoff et al's 17 recommendations. All patients gave informed consent.…”

Section: Methods Designmentioning

confidence: 99%

Prospective 12-month functional and vocational outcomes of hip arthroscopy for femoroacetabular impingement as part of an evidence-based hip pain rehabilitation pathway in an active military population

Bennett

Nixon²,

Roberts³

et al. 2016

BMJ Open Sport Exerc Med

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BackgroundFemoroacetabular impingement (FAI) is common with an estimated prevalence of 10–15% among young active individuals. The natural history of the disorder is progression to early osteoarthritis. Hip arthroscopy is recommended if conservative treatments fail; however, outcomes are unclear, particularly in highly active populations.AimTo evaluate the functional and vocational outcome of hip arthroscopy, as part of an evidence-based rehabilitation hip pain pathway, for the treatment of FAI in an active military population.MethodsAll patients in the defence rehabilitation hip pain pathway, with a confirmed diagnosis of FAI who failed conservative treatment, were assessed prior to surgery and at 2, 6 and 12 months postsurgery. Outcome measures included the Visual Analogue Scale (VAS) for hip pain, Non-Arthritic Hip Score (NAHS) for function, and vocational assessments including functional activity assessment (FAA) and Joint Medical Employment Standard for military employability and deployability.Results101 patients completed the study (mean age=33 years) (male:female:75:26) (Royal Navy/British Army/Royal Air Force: 13%/48%/39%). Outcomes demonstrated significant improvements with large effect size. Preoperative NAHS mean=62.9 (SD 16.4), 12-month postoperative NAHS mean=78.8 (18.3), mean improvement in NAHS=15.9 (95% CI 12.3 to 19.5, p<0.001). Preoperative VAS pain mean=51.3 (20.9), 12-month postoperative VAS pain=25.6 (24.5). Mean improvement 25.7 (95% CI 19.4 to 31.99, p<0.001). 73% of patients had a deployable medical category at 12 months postoperative.ConclusionsThese data confirm that hip arthroscopy as part of a structured evidence-based multidisciplinary care pathway produces significant and continued symptomatic, functional and vocational improvements over a 12-month period in a military population exposed to high intensity, weight-bearing exercise in uncontrolled and unforgiving environments.

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“…Yük verilmeden yapılan mobilizasyon cerrahi sonrası kemik ve kıkırdak dokuyu korumak gerekmiyorsa genelde önerilmemektedir. Kalça fleksör kontraktüründen kaçınmak için primer ve sekonder kalça fleksörlerinin de rehabilitasyonu tavsiye edilir 75 . Konservatif tedavi özellikle genç aktif kiilerde sıklıkla baarısız bulunmutur 9 .…”

Section: Ağırlık Aktarma Yaklaımlarıunclassified

Femoroacetabular Impingement Syndrome

Gündüz¹,

Sarpel²

2016

Arşiv Kaynak Tarama Dergisi

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Femoroacetabular impingement syndrome, which might lead to early osteoarthritis, serves as a reason of hip pain. The main problem is considered as the abnormal contact between the femoral head and the acetabulum. In general, it presents as slowly progressing hip pain in young adults. There are 3 types of femoroacetabular impingement syndrome including the cam, pincer and mixt types. The diagnosis is based upon the clinical history, functional activity status, physical examination and radiologic evaluation. The treatment is comprised of conservative regimen (activity limitation/modification and pain control) and surgery. Key words: Femoroacetabular impingement syndrome, hip pain. ÖZETFemoroasetabuler sıkıma sendromu özellikle genç ve aktif kiilerde erken osteoartrite yol açabilen kalça ağrısı nedenlerinden biridir. Ana problemin femur baı ve asetabulum arasında oluan anormal temas sonucu gelitiği düünülmektedir. Özellikle genç erikinlerde yava balayan kalça ağrısı ile kendini gösterir. Femoroasetabuler sıkıma sendromunun cam (tümsekfemoral), pincer ( kıskaç asetabuler) ve mikst olmak üzere 3 tipi vardır. Klinik hikaye, fonksiyonel ve aktivite durumu, fizik muayene bulguları ve radyografi ile tespit edilebilir. Tedavisi öncelikle aktivite kısıtlanması veya modifiye edilmesi ve ağrı kontrolünü içeren konservatif tedavi ve cerrahi tedavidir. Anahtar kelimeler: Femoroasetabuler sıkıma, kalça ağrısı. GiriFemoroasetabuler sıkıma (femoroasetabuler impingement (FAI))özellikle kalça fleksiyonu ve rotasyonu esnasında femur baı ile asetabulum arasındaki anormal temas sonucu oluan,

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Rehabilitation Following Hip Arthroscopy â€“ A Systematic Review

Cited by 79 publications

References 33 publications

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Hip arthroscopy protocol: expert opinions on post-operative weight bearing and return to sports guidelines

Prospective 12-month functional and vocational outcomes of hip arthroscopy for femoroacetabular impingement as part of an evidence-based hip pain rehabilitation pathway in an active military population

Femoroacetabular Impingement Syndrome

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