Weight Bearing Status Post-hip Arthroscopy

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-05-01

Study Completion Date

2026-03-01

Brief Summary

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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.

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Detailed Description

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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.

Conditions

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Hip Impingement Syndrome Acetabular Labral Tear

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Subjects will be enrolled into either Weight bearing as tolerated group immediately or Flat foot weight bearing group for 2 weeks. Currently, flat foot weight bearing for the first 2 weeks is standard of care.

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Physician performing surgical intervention will be blinded from surgery until first follow up. Also, physician performing ultrasound evaluation of hip capsule will remain blinded to weight bearing designation.

Study Groups

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Weight bearing as tolerated (WBAT) immediately following surgery.

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

Group Type EXPERIMENTAL

Weight Bearing as tolerated (WBAT) immediately following surgery.

Intervention Type OTHER

Subject will be provided standard of care physical therapy following surgical intervention, except will be able to self-select weight bearing based on pain and confidence.

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

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

Group Type ACTIVE_COMPARATOR

Flat foot weight bearing (FFWB) immediately following surgery

Intervention Type OTHER

Subject will be provided standard of care physcial therapy following surgical intervention except

Interventions

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Weight Bearing as tolerated (WBAT) immediately following surgery.

Subject will be provided standard of care physical therapy following surgical intervention, except will be able to self-select weight bearing based on pain and confidence.

Intervention Type OTHER

Flat foot weight bearing (FFWB) immediately following surgery

Subject will be provided standard of care physcial therapy following surgical intervention except

Intervention Type OTHER

Eligibility Criteria

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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