Addenbrookes Physiotherapy Department Box 185, Addenbrookes Hospital, Hills Road Cambridge, CB2 2QQ Tel.

01223 216104

HIP ARTHROSCOPY
TYPE I INFORMATION FOR PHYSIOTHERAPISTS
This is a simple arthroscopy procedure which involves labral trim, clean up, removal of loose bodies and to relieve minimal impingement syndrome.

Immediately post-op (0-1week)

Isometric Quads(Static, SLR and Inner range) Isometric Gluteus Isometric Hamstring AROM ankle ex Gait Re-education-Heel toe, Good pelvic Alignment Hip ROM ex as pain allows Single Knee bends with or without weights. Commence core stability exercises. Mobilise WBAT. May restrict to TWB for 4 days depending on the surgeons discretion. Follow hip exercises on the early hip exercise sheet.

Post-op (week 2)
Gently progress to intermediate exercise sheet as able Stationary Bike Stepper Hip abduction, flexion, extension, rotation. Progress with therabands Bridging ex Single leg stance- rotation of opposite hip.

Post-op (3-6weeks)

Jogging. Swimming, once the wound has healed.

6-10 weeks

Continue ex as above. Patients may commence sporting activities Golf, Rowing, Football, Rugby and Tennis.

HIP ARTHROSCOPY TYPE II

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This procedure is done for slightly more severe impingement and labral tear. Repair of labral tear. Repair of ligamentum teres. Chondral damage. Relief of impingment Wt.bearing might be restricted for 6 weeks depending on the extent of chondral damage and intervention. Please check weight bearing status on referal

NO External rotation of the hip until 4 weeks post-op.

Immediate post-op (0-1week)

Isometric Quads(Static, SLR and Inner range) Isometric Gluteus Isometric Hamstring AROM ankle ex. No ER for 4 weeks Follow exercises on the early hip exercise sheet.

Post-op (week 2)
Bridging ex

Post -op (week 3)

Stationary Bike. Hip abduction, flexion& extension can be gently progressed with light theraband. Gentle swimming No Breast stroke for 6 weeks

Post-op (week 4-5)

Aqua jogging Commence active external rotation of the hip without resistance.

Post-op (6-10 weeks)

Commence breast stroke when swimming. Gait re-education-heel toe, good pelvic alignment Progress wt.bearing to FWB Single Knee bends with or without weights Single leg stance-rotation of opposite hip Stepper Breast stroke swimming Some sporting activities may re-commence 10 weeks post-op

Sporting activities such as Golf & rowing could be commenced only at 12 weeks Football, Rugby and Tennis at 16 weeks Written by Anuj Punnoose and June Savage in discussion with Mr Vikas Khanduja June 2010

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