Weight Bearing Status Post-hip Arthroscopy

NCT05720806 | Active Not Recruiting

• 1 other identifier: STUDY22080053
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

This study is being proposed to examine weight bearing precautions following hip arthroscopic labral repair, femoroplasty, and capsular closure. Standard post operative protocols limit weight bearing for 2-6 weeks depending on individual surgeons. Cadaveric studies demonstrate that minimal force during weight bearing is distributed through labrum. Therefore, progressing weight bearing earlier in these patients post operatively may help progress faster and improve outcomes. Data collected will include demographic information, radiological data, operative procedures and PRO data.

Conditions

Hip Impingement Syndrome; Acetabular Labral Tear

Outcome Measures

Primary Outcomes (5)

• International Hip Outcome Tool 12 (iHot-12)

  Scoring ranges from 0-100 * each question is rated from 0-100 and final score is the mean of all questions answered by subject * higher scoring indicating higher quality of life due to hip function

  up to 6 months post-operative

• Hip and Groin Outcome Score (HAGOS)

  This outcome includes 6 subscales, these are scored independently, and no aggregate scoring is calculated as each section assesses different dimensions separately. Subscales (raw scores for each subscale converted to a 0-100 scale with higher score indicating higher level of function): * Pain * Symptoms * Activities of Daily Life * Function in Sport and recreation * Participation in Physical Activities * hip and groin-related quality of life

  up to 6 months post-operative

• Hip Outcome Score (HOS) ADL

  Outcome assessing function with activities of daily living. Higher score is given for higher level of function and lower score indicating reduced function. 0-68 aggregate scoring converted to 0-100 scale.

  up to 6 months post-operative

• Hip Outcome Score (HOS) Sport

  Outcome assessing function/difficulty completing dynamic activities associated with sports participation. Higher score is given for higher level of function and lower score indicating reduced function. 0-36 aggregate scoring converted to 0-100 scale.

  up to 6 months post-operative

• Tampa Scale for Kinesiophobia-11

  Outcome measure assessing fear of pain with movement. Scores range from 11 to 44. Higher scores indicate greater fear of movement

  up to 6 months post-operative

Secondary Outcomes (4)

• Isometric strength measures hip add, abd, ER, and extension

  6-week, 3 months, and 6-month post-operative

• Diagnostic ultrasound assessment of bilateral anterior hip capsule thickness

  3 months post-operative

• Diagnostic ultrasound assessment of incision widening

  3 months post-operative

• Diagnostic ultrasound for focal echogenic adhesions

  3 months post-operative

Study Arms (2)

Weight bearing as tolerated (WBAT) immediately following surgery.

EXPERIMENTAL

Subjects will be able to self-select weight bearing based on pain and confidence in surgical hip.

Other: Weight Bearing as tolerated (WBAT) immediately following surgery.

Flat foot weight bearing (FFWB) for 2 weeks after surgery.

ACTIVE COMPARATOR

Subjects will be limited to FFWB, approx 20lbs through the surgical hip.

Other: Flat foot weight bearing (FFWB) immediately following surgery

Interventions

Weight Bearing as tolerated (WBAT) immediately following surgery. OTHER

Subject will be provided standard of care physical therapy following surgical intervention, except will be able to self-select weight bearing based on pain and confidence.

Weight bearing as tolerated (WBAT) immediately following surgery.

Flat foot weight bearing (FFWB) immediately following surgery OTHER

Subject will be provided standard of care physcial therapy following surgical intervention except

Flat foot weight bearing (FFWB) for 2 weeks after surgery.

Eligibility Criteria

• Age: 12 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Age\>= 12 years
• Diagnoses: femoroacetabular impingement and hip labral tears.
• Surgical procedures performed: Hip arthroscopy with femoroplasty and labral repair.
• Surgery completed at UPMC Children's or UPMC St. Margaret's Hospital
• unilateral and bilateral hip patients

You may not qualify if:

• MSK tumor-related FAI or dysplasia
• generalized hypermobility
• revision surgeries

Sponsors & Collaborators

• University of Pittsburgh: lead

Study Sites (1)

UPMC Hip Preservation Program

Pittsburgh, Pennsylvania, 15238, United States

Location

MeSH Terms

Interventions

Weight-Bearing

Intervention Hierarchy (Ancestors)

Mechanical Phenomena; Physical Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Masking Details: Physician performing surgical intervention will be blinded from surgery until first follow up. Also, physician performing ultrasound evaluation of hip capsule will remain blinded to weight bearing designation.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Associate Professor

Model Details: Subjects will be enrolled into either Weight bearing as tolerated group immediately or Flat foot weight bearing group for 2 weeks. Currently, flat foot weight bearing for the first 2 weeks is standard of care.

Study Record Dates

• First Submitted: January 10, 2023
• First Posted: February 9, 2023
• Study Start: May 1, 2023
• Primary Completion: February 1, 2026
• Study Completion: March 1, 2026
• Last Updated: September 22, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)