The 2024 international society for hip preservation physiotherapy agreement on post-operative rehabilitation following hip arthroscopy for femoroacetabular impingement syndrome

The 2024 International Society for Hip Preservation physiotherapy agreement presents expert-driven rehabilitation guidelines for use following hip arthroscopy (HA) for femoroacetabular impingement syndrome (FAIS). The expert-panel consisted of 11 physiotherapists and eight surgeons representing five countries specializing hip preservation. Despite the favorable outcomes of HA for FAIS demonstrated in the current literature, there is a paucity of research supporting a specific physiotherapy protocol. These guidelines were created utilizing a modified-Delphi technique where panelists utilized the Grading of Recommendations, Assessment, Development, and Evaluation scale to determine inclusion of treatment interventions within each phase. The panelists recommend six phases of rehabilitation with a time and milestone-based approach beginning in the immediate post-operative period and continuing the through the return to sport phase. These expert-driven guidelines will help reduce practice variation and standardize post-operative timelines.