EP8.53 Is Early Full Weight Bearing After Hip Arthroscopy for FAI Safe and Effective? Preliminary Results

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ID: 331077
2026
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Abstract
Abstract The purpose of this study was to monitor (1) pain medication, (2) weight bearing status, (3) cryotherapy use, (4) stationary bike use, and (5) VAS pain scores during the first 2 weeks after hip arthroscopy for femoral acetabular impingement (FAI). It was hypothesized that early full weight bearing would not exacerbate symptoms nor increase use of pain medication. Thirteen physically active patients (6 men, 7 women; age 32±8 yr) undergoing hip arthroscopy for FAI completed daily records of medication use, weight bearing status, cryotherapy use, stationary bike use, and pain (0-10 VAS) for 14 consecutive days. All patients underwent hip arthroscopy with labral repair and femoroplasty. Patients were prescribed a 7-day course of indomethacin and as needed oxycodone/acetaminophen. Daily opioid use is reported in Morphine Milligram Equivalents (MME). Peak daily opioid use was 9.8±9.9 MME on day of surgery, decreasing to 2.5±5.8 MME by day 3 post op. By Day 7 one patient took opioids, 5 took nonprescription pain medication and 7 took no pain medication. Six of 13 patients were full weight bearing by Day 3 and only 2 patients were still partial weight bearing by Day 13. Cryotherapy use averaged 3.2±2.2 hours per day and bike use averaged 22±17 min per day. Peak pain was 5.3±2.3 on day of surgery, declining to 2.4±1.4 by day 13 post op. Patients who were full weight bearing by Day 3 had lower pain scores on Day 13 than the other patients(1.3±1.0 vs. 3.3±1.1, P=0.008). Opioid use did not differ between early full weight bearing and partial weight bearing groups P=0.400). However, days without pain medication (opioid or non-prescription) from Day 4 to Day 13 post op was substantially lower (P<0.001) for early full weight bearing patients (73.3% vs. 27.1% of patient days medication free). Patients who achieved full weight bearing within 3 days after hip arthroscopy for FAI had reduced pain and used less pain medication over the subsequent 10 days. These preliminary data indicate that early full weight bearing after hip arthroscopy can be safe and effective.
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Authors Gregory J. Galano, Matthew Nasra, Ashley Giannita, Malachy McHugh
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Journal Journal of hip preservation surgery
Year 2026
DOI
10.1093/jhps/hnag043.433
URL
https://doi.org/10.1093/jhps/hnag043.433
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