Pictures: Nick Greenway
With the number of hip arthroscopies projected to double by 2013*, it is important that
orthopedic surgeons employ post-operative treatment plans that increase patient compli-
ance. Orthopedic surgeon Dr. Allston Stubbs evaluates approximately 1,500 patients per
year and performs arthroscopic hip surgery on an average of 24 patients per month. Using
Bauerfeind’s active hip orthosis SofTec Coxa as part of his post-operative treatment plan,
he finds higher patient compliance and satisfaction.
Innovative treatment of hip pain
How common is sports-related hip pain?
Sports-related hip pain is a
common problem affecting a variety of ages
and ability levels. The true prevalence is
not known, but in my clinic our average age
is about 30 years old, with women being
slightly more affected than men.
How has the treatment of hip pain changed in
the last 15 years?
Over the last 15 years, the
treatment of hip pain has changed relative
to a better understanding of the causes of
hip pain and diagnostic tools. Also, a better
awareness by medical providers and athletic
trainers improved diagnostic capabilities.
Highly-informed patients, utilizing tools now
commonly found on the internet, are better
able to direct their health care professionals
to proper hip pain diagnosis and treatment.
What common indications related to hip pain
do you see on a regular basis at your clinic?
My clinic primarily evaluates and
treats patients with sports medicine-related
hip conditions. It may be as self-limiting as
a muscle strain or more involved, such as a
cartilage tear. We do see hip arthritis as well,
but along a spectrum of the earliest stages
to more progressed arthritis. Athletes with
common cases of cartilage tears, such as
femoroacetabular impingement, are evalu-
ated and counseled on treatment options and
their return to sport.
Who is your typical patient?
Our typical patient is active
and passionate about life. Most patients are
athletic in some capacity for fitness, as the
weekend warrior, and collegiate and profes-
sional athletes. Men and women are both
affected. Our age range is typically 12 to 70
years of age.
How do you utilize Bauerfeind active orthoses
as part of your protocols?
We use the SofTec Coxa hip brace
as a primarily post-operative orthosis. This
Bauerfeind brace assists our patients by pro-
viding controlled range of motion, lumbopel-
vic support and lateral impact protection in
the event of a collision or fall.
You have tried other products. What makes the
Bauerfeind product different, and why did you
select its use over the others?
We were having problems with
patient compliance with the other hip sup-
ports we were using. We found that patient
satisfaction and compliance was higher using
the SofTec Coxa. Its ease of use, appropri-
ate fitting, comfort, and being a four-season
brace gave the patient confidence.
What features and benefits are most impor-
tant in use of the SofTec Coxa?
We value patient satisfaction the
most in our use of the SofTec Coxa hip brace.
We feel the basis of high patient satisfaction
relies on a brace that is well made of high
quality materials, provides a “customized”
feel and effectively transitions the patient
from the immediate post-operative period to
the return to full activity.
How does the design of the SofTec Coxa allow
you to enhance patient treatment?
The design of the SofTec Coxa
allows each patient to feel as if they have a
personalized orthosis. Most importantly, the
fit of the brace can be adjusted throughout
Dr. Allston Stubbs is Medical Director of
Hip Arthroscopy for Wake Forest Baptist
Health and Wake Forest University School
of Medicine, and assistant professor in the
Sports Medicine Program of the Depart-
ment of Orthopaedic Surgery at Wake
Forest University in Winston-Salem, North
Carolina. An expert in hip arthroscopy,
he has published orthopedic research,
created instructional videos and lectured
at conferences within the United States
and abroad. As an active researcher,
Dr. Stubbs is currently working with
Bauerfeind on a clinical study involving
the biomechanics of hip bracing. Results
of the two-year-study are expected the
summer of 2013. Understanding the
biomechanical function of sports hip
orthoses and its implicit effect on thera-
peutic post-operative recovery can help
in improving the overall outcomes follow-
ing hip arthroscopy procedures.
Dr. Stubbs – Clinical study
“The design of the SofTec Coxa
allows each patient to feel as
if they have a personalized or-
(Dr. Allston Stubbs)