Weight Bearing Strategies for Post-Hip Arthroscopy Recovery
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores how different weight-bearing strategies after hip surgery might speed up recovery. Participants will either begin putting weight on their hip as they feel comfortable immediately after surgery (Weight Bearing as Tolerated, WBAT) or follow a more restricted approach for two weeks (Flat Foot Weight Bearing, FFWB). The trial focuses on individuals who have undergone hip arthroscopy (a minimally invasive surgery) for conditions such as femoroacetabular impingement and labral tears. Those who have had this surgery at specific hospitals and do not have other complicating conditions might be suitable candidates. As an unphased trial, this study provides a unique opportunity to enhance understanding of recovery strategies following hip surgery.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that these weight bearing strategies are safe for post-hip arthroscopy recovery?
Research shows that both flat foot weight bearing (FFWB) and weight bearing as tolerated (WBAT) are generally safe after hip surgery using a small camera. Earlier studies found that FFWB, when combined with the right support device, prevents overuse of certain muscles, aiding recovery. Most surgeons believe it is safe for patients to bear weight on their hip as much as they can tolerate immediately after surgery.
For WBAT, studies indicate that athletes can safely return to sports about six months post-surgery, suggesting that WBAT is well-tolerated and does not cause major issues.
Both methods aim to aid recovery without stressing the healing hip. No major safety concerns have been reported with either approach, indicating these strategies are likely safe for recovery.12345Why are researchers excited about this trial?
Researchers are excited about this trial because it explores different weight-bearing strategies to aid recovery after hip arthroscopy. The two techniques under study, Weight Bearing as Tolerated (WBAT) and Flat Foot Weight Bearing (FFWB), offer unique approaches. WBAT allows individuals to gauge their weight-bearing based on personal pain and confidence, potentially speeding up recovery by promoting natural movement sooner. On the other hand, FFWB restricts weight to about 20 pounds on the surgical hip, possibly minimizing stress and promoting healing. This trial seeks to determine which method provides the best balance of safety and efficiency in post-surgery recovery.
What evidence suggests that these weight bearing strategies are effective for post-hip arthroscopy recovery?
Research shows that weight-bearing methods after hip surgery can influence recovery. In this trial, participants will follow different weight-bearing strategies. One group will use the weight bearing as tolerated (WBAT) approach, allowing patients to put weight on their leg as soon as they feel comfortable. Studies suggest that WBAT often leads to positive outcomes, such as earlier discharge and similar recovery results compared to stricter weight limits. Another group will follow the flat foot weight bearing (FFWB) strategy, which is more restrictive and involves placing approximately 20 lbs of weight through the surgical hip. Some studies indicate that strict weight limits might not be necessary for better recovery in the medium term. Overall, allowing some weight when ready might speed up recovery without affecting surgical repair.12678
Are You a Good Fit for This Trial?
This trial is for individuals aged 12 or older with hip impingement syndrome or a hip labral tear, who will undergo or have undergone hip arthroscopy with femoroplasty and labral repair at UPMC Children's or St. Margaret's Hospital. Both unilateral and bilateral cases are accepted. Those with musculoskeletal tumors, generalized hypermobility, or needing revision surgeries cannot participate.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants undergo hip arthroscopic labral repair and femoroplasty with randomized weight-bearing protocols
Follow-up
Participants are monitored for safety and effectiveness after treatment, including ultrasound evaluations and strength measures
What Are the Treatments Tested in This Trial?
Interventions
- Flat foot weight bearing (FFWB)
- Hip Arthroscopy
- Weight Bearing as tolerated (WBAT)
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Pittsburgh
Lead Sponsor