PATIENT INFO

GENERAL INFORMATION
 
HIPS
 
KNEES
 
OSTEOARTHRITIS
 
SHOULDERS
 
ELBOW SURGERY
 
VISCOSUPPLEMENTATION

 

Hip Arthroscopy

wHAT TO eXPECT aFTER sURGERY

Indications: For labral pathology, cartilage pathology or femoroacetabular impingement.

Post-Operative Care

Instructions to Patient:

Contact Dr. Gilbart's office if any of the following occur within the first few weeks: fevers, chills, skin redness, wound drainage, or increasing pain (signs of infection). Also contact the office if there is excessive and increasing extremity swelling. If there are any concerns you will be seen immediately. If there is a specific emergency, including after hours you may also visit the Hospital Emergency department (preferably UBC if close).

If necessary, may visit your family MD for incision check within the first 2 weeks. You will be reassessed in clinic at approximately 4-6 wks post-op by Dr. Gilbart.

Shower: 7-10 days or cover incision with waterproof tape.
Pad area dry after shower
Range of motion returns: 6 weeks
Return to full activities: 4-6 months
Initiate physiotherapy: 7-10 days following surgery

Motion allowed:

Early active and passive passive range of motion (someone else moving limb gently)

What to Expect over first 1-2 Weeks?

The sutures used to close the wound are beneath the surface of the skin and are "self-dissolving". In addition to these sutures there are skin tapes ("Steristrips") which help to prevent spread of the scar. A larger dressing will be applied over the hip. This large dressing should be left intact for approximately 10 days following surgery, but it may be removed at 5 days following surgery and replaced with a new (smaller) dressing. These skin tapes should be worn for about 10-14 days after surgery. If they fall of early, replace them with new tapes. The tapes stick to the skin and may cause skin blisters in sensitive individuals, especially if there is post operative swelling. There will be some initial pain and discomfort, and you will receive medications for this. Early movement of the hip, knee and ankle will help to minimize the pain. This discomfort will greatly reduce over a few days. You should avoid wetting the wound directly during the first 10 days. Please note a pink coloured antiseptic is used to paint the hip and leg, so do not be concerned if the area appears unduly pink.

Rehabilitation Protocol

Instructions to Physiotherapist:

EQUAL ICING AND REST/WORK RATIO IS IMPORTANT. PAIN SHOULD NOT OCCUR WITH ANY ACTIVITY, COME ON SOONER, DURING ACTIVITY OR REHAB, OR LAST LONGER AFTER REHAB. IF THIS OCCURS, MODIFICATION OR RE-EVALUATION NEEDS TO BE UNDERTAKEN.

Procedure:

  • Hip Arthroscopy / Debridement
  • Osteoplasty for Pincer / CAM FAI
  • Labral Repair
  • Begin active and passive ROM of hip on affected side
  • Stretch to mobilize, but do not stretch beyond limits of pain
  • Toe touch WB with crutches x 4 wks, then partial WB from 4-6 wks post-op
  • May d/c crutches when able to walk without limp and/or pain
  • Begin isometrics and gentle strengthening hip flexors, extensors, adductors, abductors
  • Initiate theraband strengthening, light weights and increase slowly as tolerated
  • Home program
  • Core strengthening program
  • Avoid running or heavy impact for 3 months