Postoperative Management

After resection of the cam or pincer impingement, autologous-derived platelet gel is injected directly onto the femoral neck to reduce bleeding and promote early tissue healing. Early range-of-motion exercises are performed within 4 postoperative hours to reduce the risk of developing tissue adhesions. Twenty pounds of flat-foot weight bearing is then recommended for 4 weeks in patients undergoing a standard arthroscopy for cam or pincer impingement. If microfracture or other chondral work is performed, this may be extended to 6 to 8 weeks. Special foot boots are worn at night for 10 days to limit hip internal and external rotation. If thermal capsulorrhaphy or capsular plication is performed, rotation precautions are extended to 21 postoperative days. A modified brace is used for 10 postoperative days to protect the hip and limit abduction movement. A continuous passive motion machine is used for 4 to 8 postoperative weeks, for 8 hours each day.

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