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Physical Therapy Following a Hip Resurfacing Procedure

Steve Karas and Keelan Enseki

Background and purpose: Hip resurfacing has emerged as an option for relatively younger, active individuals with end stage hip osteoarthritis. Rehabilitation protocols for these individuals have not been well disseminated in the literature. This case report describes the interventions for anactive individual following a hip resurfacing procedure.

Methods/Case description: The patient was a 44-year-old male referred to physical therapy following a hip resurfacing procedure. He was experiencing progressive hip pain and functional limitations over a ten year period prior to surgery.

Findings/Interventions: The patient received a course of home physical therapy. Gait training, passive range of motion (PROM), active range-of-motion (PROM) and lower extremity strengthening were initiated. One month after surgery, outpatient rehabilitation was initiated and progressed to include hip joint mobilization, weight-bearing strength, balance exercises and a functional activity progression.

Clinical relevance/Outcomes: Eleven months after surgery the patient reported no pain and returned to full activity, including playing tennis twice weekly, jogging up to 40 minutes, and coaching lacrosse. Slight AROM limitations remained.

Discussion/Conclusion: This case demonstrates the rehabilitation of a patient undergoing a hip resurfacing procedure. Techniques not commonly used after traditional hip arthroplasty are described, including aggressive range of motion, and joint mobilization.