The Impact of Varying Weightbearing Restrictions on Postoperative Outcomes Following Arthroscopic Surgery for Femoroacetabular Impingement: a Randomized Trial
The purpose of this single-blinded (assessor) randomized trial is to compare patient-reported, clinical and functional outcomes in patients randomized to weight-bearing as tolerated (WBAT) or partial weight-bearing (PWB) restrictions following arthroscopic surgery for femoroacetabular impingement (FAI) up to 12-months postoperative.
• 16 - 50 years of age at time of surgery
• Diagnosis of FAI (cam, pincer, mixed) based on the 2016 Warwick Agreement. All 3 criteria below must be met:
‣ Symptoms of motion- or position-related pain in the hip or groin
⁃ Clinical signs consistent with FAI such as: decreased hip flexion and internal rotation, or positive impingement sign
⁃ Radiographic evidence (on BOTH x-ray AND non-contrast MRI) of intra-articular pathology consistent with FAI as determined by the treating surgeon.
• Failed conservative interventions of at least 3 months (i.e. physiotherapy)
• Have symptom relief with intra-articular injection of local anaesthetic
• Unilateral or bilateral surgical intervention (note: unilateral required to ensure the weight bearing guidelines are followed)
• Are willing to be followed for 12 months post-operative.
∙ Eligibility for 'return to sport' cohort:
∙ Additional assessment measures related to return to sport will be collected on the patient who meet the following criteria:
• are or were previously actively involved in sport as indicated by a pre-operative Hip Sports Activity Scale score of four of greater
• indicate a post-operative goal to return to sport following their procedure