Professor Fehily will document in the case notes to follow the SIMPLE protocol.

Based on a 3 month recovery.

Aims.

  • To increase range of motion (RoM).
  • To increase hip / pelvic and lumbar stability.
  • To enable return to activities of daily living / sport.

Postoperative Objectives.

Short term.

  • Provide postoperative instructions / advice.
  • Comfortable active hip RoM.
  • Comfortable hip co-contraction.
  • Control pain / inflammation.
  • Protect integrity of the wounds.
  • Restrict full weight-bearing based on operative findings.

Long term.

  • Progress hip RoM.
  • Progress hip, pelvic and lumbar stability.
  • Progress weight-bearing / impact.
  • Optimise hip use in activities of daily living / sport.

Note - this protocol is a guide for hip arthroscopy patients. Still use clinical reasoning and evidenced based practise to apply the principles to individual patients.

WEEK 1.

  • Advice on wound care (3 scope sites). No bathing until 24 hours after suture removal. Showering is allowed following application of waterproof dressings.
  • Painkillers and anti-inflammatory medication to be given on discharge.
  • Mobilise / stairs PWB 50% of body weight, with e/c until WEEK2.
  • If Osteoplasty performed then end-range hip flexion to be performed passively and in a pain-free RoM until WEEK 5.
  • Introduce Hip Scope Sheet 1 and provide Hip Arthroscopy post-operative leaflet.
  • Physiotherapy Out-patient Hydrotherapy (Hydro) appointment to be arranged for 1 week post-op. Hydro checklist to be filled in by the patient. If contra-indications then the patient continues Hip Scope Sheet 1 instead of Hydro.
  • Reduce post-operative dressing (swabs and op-site dressing). Wound assessment and re-dressing at 3-4 days post-operative.
  • In-patient discharge.

WEEK 2.

  • Physiotherapy Outpatient Hydro Appointment. (Op-site spray & Tegaderm dressing to be used).
  • Progress to FWB as pain allows.
  • Introduce Hip Scope Sheet 2.
  • Removal of sutures around 10-14 days.

WEEK 3.

WEEK 4.

WEEK 5.

WEEK 6.

WEEK 7.

WEEK 8.

  • Introduce impact and multidirectional exercises.

WEEK 9.

  • Introduce Jogging.
  • Continue impact and multidirectional exercises.

WEEK 10-12.

  • Progress flexibility, strengthening and endurance exercises as appropriate.
  • Introduce Functional Return to Sport.

WEEK 13.

  • Competitive return to sport.

Manchester Hip Clinic News

HIP SURGERY

Fracture

As patients who have had a hip replacement age, there is a decrease in the strength of their bones and an increase in the risk of fracture a...

HIP SURGERY

Dislocation

As hip replacements age, the components will wear and the hip will lose its' initial soft-tissue tension. This combined with a general incre...

HIP SURGERY

Hip Arthroscopy

This is an innovative procedure that allows access to the hip joint using minimally invasive surgical techniques. It has been carried out ep...

HIP SURGERY

Hip Replacements

When a patient has severe arthritis and painkillers no longer effectively control the symptoms, hip joint replacement is advised. This has t...

HIP SURGERY

Implant loosening

Implant loosening is the most common cause/indication for revision hip surgery. Hip replacements have been carried out in the UK regularly s...

HIP SURGERY

Hip revision surgery

Revision hip surgery is carried out for a variety of reasons. These can include the original hip wearing out, the presence of deep infection...

Contact Details

Compex

Spire Manchester Hospital,
Russell Road, Whalley Range,
Manchester. M16 8AJ
Tel: 0773 979 1305
info@manchesterhipclinic.com