Accelerated, conservative rehabilitation after hip arthroscopy may yield similar results

Source:

Banfi MP, et al. Accelerated versus conservative rehabilitation protocols following arthroscopic surgery for FAI. Presented at: Arthroscopy Association of North America Annual Meeting; May 4-6, 2023; New Orleans.

Expressions:
Banfi reports as a board or committee member of the American Orthopedic Association for Sports Medicine, the Arthroscopy Association of North America, the Hip Society, and the International Congress on Joint Rehabilitation; Compensation Consultant for Arthrex Inc., Smith & Nephew and Vericel; a paid contributor or speaker for Arthrex Inc., Smith & Nephew, and Vericel; and receives research support from Arthrex Inc., Smith & Nephew, and Stryker.


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Key Takeaways:

  • Together, the accelerated and conservative rehabilitation groups had improvements in postoperative outcome scores.
  • Accelerated rehabilitation had small differences in outcome scores versus conservative rehabilitation.

NEW ORLEANS — The results presented here showed a conservative rehabilitation protocol after hip arthroscopy, but no clinical differences in outcome scores compared with an accelerated rehabilitation protocol.

Michael B. BanffiMD, and colleagues developed and implemented an accelerated rehabilitation protocol for patients undergoing hip arthroscopy for femoroacetabular impingement between April 2020 and March 2021 and compared it with a conservative rehabilitation protocol performed between April 2018 and March 2020. 50% weight-bearing and crutches for 3 weeks delayed initiation of physical therapy by 2 to 3 weeks postoperatively, while an accelerated rehabilitation protocol consisted of immediate weight-bearing and crutches and initial progression to physical therapy within 1 to 2 days. After surgery.

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Accelerated, conservative rehabilitation after hip arthroscopy may yield similar results

A conservative rehabilitation protocol after hip arthroscopy had no statistical but clinical differences in outcome scores compared with an accelerated rehabilitation protocol. Image: Adobe Stock

The researchers assessed any complications, including correction, and collected the VAS, modified Harris Hip Score, and Single Assessment Numerical Assessment (SANE) score.

Michael B.  Banffi

Michael B. Banffi

„We saw it too [minimal clinically important difference] It used a distribution method to calculate the MCID and compared the differences between the two groups,” Banfi said in his presentation at the Arthroscopy Association of North America annual meeting.

According to Banfi, both groups had a significant improvement between preoperative and postoperative patient-reported outcome scores. However, patients in the accelerated rehabilitation group had slightly increased VAS scores and decreased SANE score and modified Harris hip scores at 1 year postoperatively compared with the conservative rehabilitation group.

„When we compared the group difference with MCIDs, it was not significant,” Banfi said. „Despite statistical significance, there was no clinical significance, as was the VAS, modified Harris hip score, and SANE score.”

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