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Related Experiment Video

Updated: May 24, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Post-operative guidelines following hip arthroscopy.

Jaime Edelstein1, Anil Ranawat, Keelan R Enseki

  • 1Hospital for Special Surgery, 525 East 71st Street, New York, NY, 10021, USA, edelsteinj@hss.edu.

Current Reviews in Musculoskeletal Medicine
|February 25, 2012
PubMed
Summary

This study outlines a four-phase rehabilitation program for hip arthroscopy patients, focusing on functional milestones and healing. The program guides patients from protection to full recovery, including return to running.

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Published on: February 27, 2018

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Physical Therapy

Background:

  • Hip arthroscopy rehabilitation protocols vary widely.
  • Structured, physiologically based guidelines are a recent development for femoroacetabular impingement (FAI).
  • Protocol advancement relies on patient and therapist feedback and observed outcomes.

Purpose of the Study:

  • To present a structured, four-phase rehabilitation guideline for post-hip arthroscopy recovery.
  • To define functional and healing milestones for patient progression.
  • To provide a framework for individualized rehabilitation timelines.

Main Methods:

  • A four-phase rehabilitation model based on functional and healing milestones.
  • Phase I: Protective phase focusing on range of motion (ROM) and gait normalization.
  • Phase II: Functional independence in daily activities with specific exercise goals.
  • Phase III: Pain-free recreational and work activities with strength and control requirements.
  • Phase IV: Independence in exercise programs and asymptomatic recovery, with return to running at 12 weeks if criteria are met.

Main Results:

  • Phase I aims for 75% ROM and normalized gait.
  • Phase II focuses on functional independence and specific exercise achievements.
  • Phase III requires pain-free activity, 5/5 muscle strength, and dynamic body control.
  • Phase IV ensures independence and pain-free workouts, with return to running criteria.

Conclusions:

  • The four-phase guideline provides a structured approach to hip arthroscopy rehabilitation.
  • Milestone achievement allows for safe progression through rehabilitation phases.
  • Individual patient factors, including pre-operative status and demands, influence program design and timeline.