Clinical trial NCT05720806: Weight Bearing Status Post-hip Arthroscopy
Official title: Weight Bearing as Tolerated (WBAT) Following Hip Arthroscopic Labral Repair and Femoroplasty.
Study type: INTERVENTIONAL
Overall status: ENROLLING_BY_INVITATION
Phase: NA
Conditions: Hip Impingement Syndrome
Acetabular Labral Tear
Lead sponsor: University of Pittsburgh
Sponsor class: OTHER
First posted: 2023-02-09
Enrollment: 80
Sex: ALL
Minimum age (years): 12
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: 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 purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: International Hip Outcome Tool 12 (iHot-12)
timeFrame: up to 6 months post-operative
measure: Hip and Groin Outcome Score (HAGOS)
timeFrame: up to 6 months post-operative
measure: Hip Outcome Score (HOS) ADL
timeFrame: up to 6 months post-operative
measure: Hip Outcome Score (HOS) Sport
timeFrame: up to 6 months post-operative
measure: Tampa Scale for Kinesiophobia-11
timeFrame: up to 6 months post-operative
Secondary outcomes:
measure: Isometric strength measures hip add, abd, ER, and extension
timeFrame: 6-week, 3 months, and 6-month post-operative
measure: Diagnostic ultrasound assessment of bilateral anterior hip capsule thickness
timeFrame: 3 months post-operative
measure: Diagnostic ultrasound assessment of incision widening
timeFrame: 3 months post-operative
measure: Diagnostic ultrasound for focal echogenic adhesions
timeFrame: 3 months post-operative
Other outcomes:
Locations:
city: Pittsburgh
country: United States
facility: UPMC Hip Preservation Program
state: Pennsylvania
Study officials:
References: