Weight Bearing Status Post-hip Arthroscopy

University of Pittsburgh

Status: Active, not recruiting

Conditions: Acetabular Labral Tear; Hip Impingement Syndrome

Treatments: Other: Weight Bearing as tolerated (WBAT) immediately following surgery.; Other: Flat foot weight bearing (FFWB) immediately following surgery

Study type: Interventional

Funder types: Other

Identifiers

NCT05720806

STUDY22080053

Details and patient eligibility

About

This study is being proposed to examine weight bearing precautions following hip arthroscopic labral repair, femoroplasty, and capsular closure. Standard post operative protocols limit weight bearing for 2-6 weeks depending on individual surgeons. Cadaveric studies demonstrate that minimal force during weight bearing is distributed through labrum. Therefore, progressing weight bearing earlier in these patients post operatively may help progress faster and improve outcomes. Data collected will include demographic information, radiological data, operative procedures and PRO data.

Full description

The study will be conducted at UPMC St. Margaret's Hip Preservation Program. Consented patients who undergo acetabular labral repair and femoroplasty will be included in randomization of weight-bearing status. Two separate protocols will be created to indicate weight bearing status, either WBAT immediately post-op or FFWB immediately post-op, to distribute to rehabilitation staff to ensure compliance. Immediately after the surgical procedure, the surgeon will be blinded and a randomized pamphlet with post-operative instructions with weight bearing education will be given to PACU nursing staff to educate patients and fit crutches.

Enrollment: 80 estimated patients

Sex: All

Ages: 12 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age>= 12 years
• Diagnoses: femoroacetabular impingement and hip labral tears.
• Surgical procedures performed: Hip arthroscopy with femoroplasty and labral repair.
• Surgery completed at UPMC Children's or UPMC St. Margaret's Hospital
• unilateral and bilateral hip patients

Exclusion criteria

• MSK tumor-related FAI or dysplasia
• generalized hypermobility
• revision surgeries

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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80 participants in 2 patient groups

Weight bearing as tolerated (WBAT) immediately following surgery.

Experimental group

Description:

Subjects will be able to self-select weight bearing based on pain and confidence in surgical hip.

Treatment:

Other: Weight Bearing as tolerated (WBAT) immediately following surgery.

Flat foot weight bearing (FFWB) for 2 weeks after surgery.

Active Comparator group

Description:

Subjects will be limited to FFWB, approx 20lbs through the surgical hip.

Treatment:

Other: Flat foot weight bearing (FFWB) immediately following surgery