FP16.1 Early Postoperative Weightbearing Status Does Not Affect Hip Capsular Integrity and May Result in Lower Rates of Kinesiophobia after Hip Arthroscopy for Femoroacetabular Impingement: A Randomized Controlled Trial

Clicks: 12
ID: 330992
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Popular

Ranked #78 of 444 articles by views in Journal of hip preservation surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 444 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract ICLA16 - Beyond the Operating Room: Value-Based Healthcare, Large Registries, and Predicting Failures, Auditorium B (BMCC Level 1), October 9, 2026, 14:00 - 16:00 Background Hip arthroscopy for femoroacetabular impingement syndrome has increased substantially, with traditional rehabilitation protocols emphasizing restricted weightbearing to protect capsular repairs. However, biomechanical evidence suggests modern capsular closure techniques provide robust stability, questioning the necessity of prolonged weightbearing restrictions. Purpose To evaluate whether immediate postoperative weightbearing protocols affect patient-reported outcomes and capsular integrity following hip arthroscopy with labral repair and femoroplasty. Methods Patients aged 12-65 years undergoing hip arthroscopy with femoroplasty and acetabular labral repair for femoroacetabular impingement were randomized 1:1 to either weight-bearing-as-tolerated (WBAT) immediately or flat-foot weightbearing (FFWB, ~20 pounds) for two weeks postoperatively. Exclusion criteria included musculoskeletal tumor-related FAI, hip dysplasia, generalized hypermobility, or revision hip arthroscopy. Treating surgeons were blinded to group allocation, and randomization assignments were delivered via sealed instruction pamphlets to post-anesthesia care unit staff. Patient-reported outcomes (iHOT-12, HAGOS, HOS, Tampa Scale for Kinesiophobia) were assessed at three months. Capsular integrity was evaluated via blinded ultrasound at six weeks postoperatively. Results Forty-nine patients completed ultrasound assessment; 30 completed patient-reported outcomes. No significant differences were observed between groups for functional outcomes (mHHS, iHOT-12, HOOS, PSEQ). The WBAT group demonstrated significantly lower kinesiophobia (adjusted mean Tampa Scale: 21.4 vs. 25.1; p=0.045). After controlling for contralateral capsular thickness via ANCOVA, weightbearing status had no significant effect on direct anterior (p=0.48) or anterolateral (p=0.052) capsular thickness at six weeks postoperatively. Well-approximated repairs were observed in 95.5% of WBAT and 100% of FFWB patients (p>0.99). Conclusion This study demonstrates that postoperative weightbearing status after hip arthroscopy for femoroacetabular impingement does not influence patient reported outcomes or capsular integrity. Notably, immediate weightbearing as tolerated was associated with significantly lower kinesiophobia compared to restricted flat-foot weightbearing. These findings support the safety of early weightbearing following surgery, which may facilitate recovery, reduce fear-avoidance behaviors, improve rehabilitation efficiency, and optimize outcomes without compromising capsular healing.
Reference Key
openalex_W7220377534 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Dan Cohen, Tyler M. Hauer, Michelle Milgrub, Robert Bilodeau, Rebecca Hine, Michaela Golden, Robert Apgar, Daniel R. Lueders, Craig S. Mauro
Are you one of these authors? Claim your profile
Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.121
URL
https://doi.org/10.1093/jhps/hnag043.121
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.