Osteoplasty

The focus of rehabilitation following osteoplasty is to avoid impingement of the hip and inflammation of the iliopsoas while restoring full ROM and strength. In cases that involve significant shaving of the femoral neck, caution must also be taken to limit impact activities that may increase risk of femoral neck fracture during the first 8 weeks (Table 2).

Following osteoplasty, flexion is limited to 90° for 10 days to protect the joint from impingement. Weight bearing is limited to foot-flat weight bearing (20 lbs.) for 4 weeks. A continuous passive motion machine is used for 4 weeks. Patients typically initiate phase I immediately following surgery, phase II at week 5, phase III at week 9, and phase IV at week 13.

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