Abstract
Introduction Pain in the hip joint area related to the femoro-acetabular impingement syndrome, local cartilage damage, or labrum tear is an increasingly common cause of orthopedic consultations. In the case of failure of conservative treatment, the treatment of choice is the arthroscopic treatment of the lesions and arthroplasty. As after any surgical procedure, an important aspect is subsequent rehabilitation, which may increase the positive effect of the treatment. Aim This article aims to present the original rehabilitation procedure after hip arthroscopy. Material and methods The presented rehabilitation program lasts about 5–9 months and consists of four stages. The first stage, lasting two weeks, mainly focuses on protecting the treated structures, reducing pain, and preventing adhesions and blood clots. Stage two, which lasts up to 4–6 weeks, is to restore the correct gait pattern and progress exercises from stage one. In the third stage, which lasts up to 12 weeks, rehabilitation focuses on regaining the full range of motion, muscle strength, and endurance similar to the non-operated leg. After a positive functional assessment, the patient progresses to the fourth stage, which prepares him to return to the entire sports activity. The decision to return to sport is based on the relevant results of the functional assessment and clinical examination. Results This work presents the original protocol of rehabilitation after arthroscopic procedures of the hip joint. Comparing the rehabilitation process, criteria for progression, and the time to return to sport, the protocol proposed by us is in line with the currently accepted rehabilitation trends in the world. Conclusions The rehabilitation protocol proposed by our team was based on the authors’ experience and the available literature. The rehabilitation process has been divided into 4 phases with precise criteria for progression. Biomechanical Functional Assessment plays an important role in the control of the entire course of rehabilitation. Keywords: hip arthroscopy, rehabilitation protocol, functional evaluation
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