{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T07:25:43Z","timestamp":1780989943771,"version":"3.54.1"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T00:00:00Z","timestamp":1720483200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Orthoservice, Switzerland"},{"name":"Universit\u00e4tsmedizin Greifswald"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Arch Orthop Trauma Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Detailed postoperative rehabilitation protocols after hip arthroscopy for femoroacetabular impingement syndrome (FAIS) are still a matter of debate. Adjunctive hip bracing represents a promising tool to improve early patients\u2019 mobilization. To present, the effect of hip brace therapy on postoperative functional outcomes and specific patient individual psychologic factors remains controversially discussed. Consequently, we aimed to report postoperative outcomes focusing on hip function, pain and kinesiophobia between braced and unbraced patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>A prospective, randomized-controlled trial was conducted, including patients undergoing hip arthroscopy for FAIS. After exclusion, a final study cohort of 36 patients in the intervention group (postoperative hip brace) and 36 patients in the control group (no hip brace) were compared for kinesiophobia (Tampa Scale of Kinesiophobia), pain (Visual analog scale) and joint function (International Hip Outcome Tool-12) within the first six postoperative months.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Hip arthroscopy significantly improved all patient-reported outcomes in both groups. Intergroup analysis revealed significantly lower levels of kinesiophobia in braced patients at 6-months follow up (30.7 vs. 34.1, <jats:italic>p<\/jats:italic>\u2009=\u20090.04) while not negatively affecting pain and joint function. No intra- and postoperative complications occurred within both groups.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This study could demonstrate that bracing after hip arthroscopy can positively influence kinesiophobia, while the brace did not negatively impact postoperative pain and quality of life. Thus, hip bracing could be a viable assistive therapy in the postoperative rehabilitation phase after hip arthroscopy.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00402-024-05437-9","type":"journal-article","created":{"date-parts":[[2024,7,9]],"date-time":"2024-07-09T11:01:59Z","timestamp":1720522919000},"page":"3205-3210","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Postoperative hip bracing reduces kinesiophobia in patients undergoing hip arthroscopy: a randomized-controlled trial"],"prefix":"10.1007","volume":"144","author":[{"given":"Maximilian","family":"Fischer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars","family":"Nonnenmacher","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian","family":"Sobau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5195-7529","authenticated-orcid":false,"given":"Alexander","family":"Zimmerer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,9]]},"reference":[{"issue":"2","key":"5437_CR1","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1177\/0363546517743720","volume":"46","author":"BG Domb","year":"2018","unstructured":"Domb BG et al (2018) Hip arthroscopic surgery with labral preservation and capsular plication in patients with borderline hip dysplasia: minimum 5-year patient-reported outcomes. Am J Sports Med 46(2):305\u2013313","journal-title":"Am J Sports Med"},{"issue":"9","key":"5437_CR2","doi-asserted-by":"publisher","first-page":"2447","DOI":"10.1177\/03635465211021001","volume":"49","author":"AE Jimenez","year":"2021","unstructured":"Jimenez AE et al (2021) Achieving successful outcomes in high-level athletes with borderline hip dysplasia undergoing hip arthroscopy with capsular plication and labral preservation: a propensity-matched controlled study. Am J Sports Med 49(9):2447\u20132456","journal-title":"Am J Sports Med"},{"issue":"1","key":"5437_CR3","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1177\/0363546520973977","volume":"49","author":"TJ Menge","year":"2020","unstructured":"Menge TJ et al (2020) Hip arthroscopy for femoroacetabular impingement in adolescents: 10-year patient-reported outcomes. Am J Sports Med 49(1):76\u201381","journal-title":"Am J Sports Med"},{"issue":"8","key":"5437_CR4","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1016\/j.arth.2013.02.039","volume":"28","author":"KJ Bozic","year":"2013","unstructured":"Bozic KJ et al (2013) Trends in hip arthroscopy utilization in the United States. J Arthroplasty 28(8):140\u2013143","journal-title":"J Arthroplasty"},{"key":"5437_CR5","doi-asserted-by":"crossref","unstructured":"Lee, M.S., et al., Patients undergoing primary hip arthroscopy report favorable outcomes at minimum 10 year follow-up: a systematic review. Arthroscopy: The J Arthrosc Related Surg 2023. 39(2): 459\u2013475.","DOI":"10.1016\/j.arthro.2022.10.040"},{"issue":"9","key":"5437_CR6","doi-asserted-by":"publisher","first-page":"2383","DOI":"10.1177\/03635465231180305","volume":"51","author":"BG Domb","year":"2023","unstructured":"Domb BG et al (2023) Ten-year survivorship, outcomes, and sports participation in athletes after primary hip arthroscopy for femoroacetabular impingement syndrome. Am J Sports Med 51(9):2383\u20132395","journal-title":"Am J Sports Med"},{"key":"5437_CR7","doi-asserted-by":"crossref","unstructured":"Ganz R et al. (2003) Femoroacetabular impingement: a cause for osteoarthritis of the hip. Clin Orthopaedics Related Res\u00ae 417: 112\u2013120.","DOI":"10.1097\/01.blo.0000096804.78689.c2"},{"key":"5437_CR8","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1016\/j.ijsu.2017.08.557","volume":"54","author":"M Jamil","year":"2018","unstructured":"Jamil M et al (2018) Hip arthroscopy: indications, outcomes and complications. Int J Surg 54:341\u2013344","journal-title":"Int J Surg"},{"key":"5437_CR9","doi-asserted-by":"crossref","unstructured":"Beck, E.C., et al. (2021) Gender and age-specific differences observed in rates of achieving meaningful clinical outcomes 5-years after hip arthroscopy for femoroacetabular impingement syndrome. Arthroscopy 37(8): 2488\u20132496. e1.","DOI":"10.1016\/j.arthro.2021.02.033"},{"issue":"1","key":"5437_CR10","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1177\/0363546520976357","volume":"49","author":"K Parvaresh","year":"2021","unstructured":"Parvaresh K et al (2021) The influence of body mass index on outcomes after hip arthroscopy for femoroacetabular impingement syndrome: five-year results in 140 patients. Am J Sports Med 49(1):90\u201396","journal-title":"Am J Sports Med"},{"issue":"3","key":"5437_CR11","doi-asserted-by":"publisher","first-page":"732","DOI":"10.1016\/j.arthro.2023.06.035","volume":"40","author":"DS Shankar","year":"2024","unstructured":"Shankar DS et al (2024) Five-year outcomes of primary hip arthroscopy for femoroacetabular impingement syndrome among female patients: higher body mass index is associated with reduced clinically significant outcomes. Arthroscopy 40(3):732\u2013741","journal-title":"Arthroscopy"},{"key":"5437_CR12","doi-asserted-by":"crossref","unstructured":"Stone AV et al. (2019) Preoperative predictors of achieving clinically significant athletic functional status after hip arthroscopy for femoroacetabular impingement at minimum 2-year follow-up. Arthroscopy 35(11): 3049\u20133056. e1.","DOI":"10.1016\/j.arthro.2019.05.022"},{"issue":"12","key":"5437_CR13","doi-asserted-by":"publisher","first-page":"4008","DOI":"10.3390\/jcm12124008","volume":"12","author":"M Fischer","year":"2023","unstructured":"Fischer M et al (2023) Psychological factors as risk contributors for poor hip function after periacetabular osteotomy. J Clin Med 12(12):4008","journal-title":"J Clin Med"},{"issue":"2","key":"5437_CR14","doi-asserted-by":"publisher","first-page":"195","DOI":"10.1093\/jhps\/hnaa016","volume":"7","author":"AG Dick","year":"2020","unstructured":"Dick AG et al (2020) The impact of mental health disorders on outcomes following hip arthroscopy for femoroacetabular impingement syndrome: a systematic review. J Hip Preserv Surg 7(2):195\u2013204","journal-title":"J Hip Preserv Surg"},{"issue":"9","key":"5437_CR15","doi-asserted-by":"publisher","first-page":"2837","DOI":"10.1007\/s00167-021-06658-w","volume":"29","author":"NH Bech","year":"2021","unstructured":"Bech NH et al (2021) The influence of pain catastrophizing and central sensitization on the reported pain after hip arthroscopy. Knee Surg Sports Traumatol Arthrosc 29(9):2837\u20132842","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"key":"5437_CR16","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1007\/s10865-006-9085-0","volume":"30","author":"M Leeuw","year":"2007","unstructured":"Leeuw M et al (2007) The fear-avoidance model of musculoskeletal pain: current state of scientific evidence. J Behav Med 30:77\u201394","journal-title":"J Behav Med"},{"issue":"1\u20132","key":"5437_CR17","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/j.pain.2005.05.029","volume":"117","author":"SR Woby","year":"2005","unstructured":"Woby SR et al (2005) Psychometric properties of the TSK-11: a shortened version of the Tampa Scale for Kinesiophobia. Pain 117(1\u20132):137\u2013144","journal-title":"Pain"},{"key":"5437_CR18","doi-asserted-by":"publisher","first-page":"2057","DOI":"10.1007\/s00402-020-03582-5","volume":"140","author":"OS Brown","year":"2020","unstructured":"Brown OS et al (2020) The effects of kinesiophobia on outcome following total knee replacement: a systematic review. Arch Orthop Trauma Surg 140:2057\u20132070","journal-title":"Arch Orthop Trauma Surg"},{"key":"5437_CR19","doi-asserted-by":"publisher","first-page":"e416","DOI":"10.1016\/j.wneu.2020.01.218","volume":"137","author":"MK Kemani","year":"2020","unstructured":"Kemani MK et al (2020) Fear of movement is related to low back disability during a two-year period in patients who have undergone elective lumbar spine surgery. World Neurosurg 137:e416\u2013e424","journal-title":"World Neurosurg"},{"issue":"2","key":"5437_CR20","doi-asserted-by":"publisher","first-page":"81","DOI":"10.5435\/JAAOS-D-18-00041","volume":"28","author":"TS Lynch","year":"2020","unstructured":"Lynch TS et al (2020) Best practice guidelines for hip arthroscopy in femoroacetabular impingement: results of a Delphi process. JAAOS-J Am Acad Orthopaedic Surgeons 28(2):81\u201389","journal-title":"JAAOS-J Am Acad Orthopaedic Surgeons"},{"key":"5437_CR21","doi-asserted-by":"crossref","unstructured":"Mavrommatis S et al. Postoperative brace use after hip arthroscopy: a systematic review. HSS Journal\u00ae, 2023: 15563316231190603.","DOI":"10.1177\/15563316231190603"},{"issue":"2","key":"5437_CR22","doi-asserted-by":"publisher","first-page":"225","DOI":"10.3390\/biomimetics8020225","volume":"8","author":"K Hirata","year":"2023","unstructured":"Hirata K et al (2023) Biomechanical analysis of hip braces after hip arthroscopic surgery for femoroacetabular impingement syndrome: an observational study. Biomimetics 8(2):225","journal-title":"Biomimetics"},{"issue":"4","key":"5437_CR23","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1177\/1941738116647920","volume":"8","author":"BG Domb","year":"2016","unstructured":"Domb BG, Sgroi TA, VanDevender JC (2016) Physical therapy protocol after hip arthroscopy: clinical guidelines supported by 2-year outcomes. Sports Health 8(4):347\u2013354","journal-title":"Sports Health"},{"issue":"9","key":"5437_CR24","doi-asserted-by":"publisher","first-page":"1722","DOI":"10.1016\/j.arthro.2015.03.023","volume":"31","author":"A Gupta","year":"2015","unstructured":"Gupta A et al (2015) Best practices during hip arthroscopy: aggregate recommendations of high-volume surgeons. Arthroscopy 31(9):1722\u20131727","journal-title":"Arthroscopy"},{"issue":"4","key":"5437_CR25","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1016\/j.apmr.2019.10.190","volume":"101","author":"LB Priore","year":"2020","unstructured":"Priore LB et al (2020) Two weeks of wearing a knee brace compared with minimal intervention on kinesiophobia at 2 and 6\u00a0weeks in people with patellofemoral pain: a randomized controlled trial. Arch Phys Med Rehabil 101(4):613\u2013623","journal-title":"Arch Phys Med Rehabil"},{"issue":"19","key":"5437_CR26","doi-asserted-by":"publisher","first-page":"1169","DOI":"10.1136\/bjsports-2016-096743","volume":"50","author":"DR Griffin","year":"2016","unstructured":"Griffin DR et al (2016) The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Br J Sports Med 50(19):1169\u20131176","journal-title":"Br J Sports Med"},{"issue":"2","key":"5437_CR27","doi-asserted-by":"publisher","first-page":"337","DOI":"10.1016\/j.csm.2005.12.008","volume":"25","author":"S Stalzer","year":"2006","unstructured":"Stalzer S, Wahoff M, Scanlan M (2006) Rehabilitation following hip arthroscopy. Clin Sports Med 25(2):337\u2013357","journal-title":"Clin Sports Med"},{"issue":"11","key":"5437_CR28","first-page":"1998","volume":"33","author":"GL Cvetanovich","year":"2017","unstructured":"Cvetanovich GL et al (2017) Variability and comprehensiveness of North American online available physical therapy protocols following hip arthroscopy for femoroacetabular impingement and labral repair. Arthroscopy 33(11):1998\u20132005","journal-title":"Arthroscopy"},{"issue":"5","key":"5437_CR29","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1016\/j.knee.2016.05.008","volume":"23","author":"G Harput","year":"2016","unstructured":"Harput G et al (2016) External supports improve knee performance in anterior cruciate ligament reconstructed individuals with higher kinesiophobia levels. Knee 23(5):807\u2013812","journal-title":"Knee"},{"issue":"11","key":"5437_CR30","doi-asserted-by":"publisher","first-page":"232596712312125","DOI":"10.1177\/23259671231212503","volume":"11","author":"D Wentzel","year":"2023","unstructured":"Wentzel D et al (2023) Benefits of a postoperative hip orthosis after routine arthroscopy of the hip: a retrospective cohort study. Orthop J Sports Med 11(11):23259671231212504","journal-title":"Orthop J Sports Med"},{"issue":"2","key":"5437_CR31","first-page":"125","volume":"43","author":"M Nasir","year":"2023","unstructured":"Nasir M, Scott EJ, Westermann RC (2023) Pain catastrophizing, kinesiophobia, stress, depression, and poor resiliency are associated with pain and dysfunction in the hip preservation population. Iowa Orthop J 43(2):125\u2013132","journal-title":"Iowa Orthop J"},{"issue":"2","key":"5437_CR32","doi-asserted-by":"publisher","first-page":"e97","DOI":"10.1016\/j.asmr.2019.12.001","volume":"2","author":"IM Clapp","year":"2020","unstructured":"Clapp IM et al (2020) What is the role of kinesiophobia and pain catastrophizing in outcomes after hip arthroscopy for femoroacetabular impingement syndrome? Arthrosc Sports Med Rehabil 2(2):e97\u2013e104","journal-title":"Arthrosc Sports Med Rehabil"},{"issue":"6","key":"5437_CR33","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0096745","volume":"9","author":"HC Lim","year":"2014","unstructured":"Lim HC et al (2014) Randomised trial support for orthopaedic surgical procedures. PLoS ONE 9(6):e96745","journal-title":"PLoS ONE"},{"issue":"2","key":"5437_CR34","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1302\/0301-620X.101B2.BJJ-2018-1352.R1","volume":"101","author":"A Robinson","year":"2019","unstructured":"Robinson A et al (2019) The challenges of translating the results of randomized controlled trials in orthopaedic surgery into clinical practice. The Bone & Joint Journal 101(2):121\u2013123","journal-title":"The Bone & Joint Journal"}],"container-title":["Archives of Orthopaedic and Trauma Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05437-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00402-024-05437-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00402-024-05437-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,12]],"date-time":"2024-08-12T17:05:55Z","timestamp":1723482355000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00402-024-05437-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,9]]},"references-count":34,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2024,7]]}},"alternative-id":["5437"],"URL":"https:\/\/doi.org\/10.1007\/s00402-024-05437-9","relation":{},"ISSN":["1434-3916"],"issn-type":[{"value":"1434-3916","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,9]]},"assertion":[{"value":"24 March 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 June 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Alexander Zimmerer received consultant fees from Arthrex and Orthoservice. The other authors report no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study was approved by IRB\/Ethikkommission Landes\u00e4rztekammer Baden-W\u00fcrttemberg, Germany.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All patients consented to the study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}