Joint-preserving surgical options for management of chondral injuries of the hip

Management of injuries to the articular cartilage is complex and challenging; it becomes especially problematic in weight-bearing joints such as the hip. Several causes of articular cartilage damage have been described, including trauma, labral tears, and femoroacetabular impingement, among others....

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Bibliographic Details
Published inJournal of the American Academy of Orthopaedic Surgeons Vol. 22; no. 1; p. 46
Main Authors El Bitar, Youssef F, Lindner, Dror, Jackson, Timothy J, Domb, Benjamin G
Format Journal Article
LanguageEnglish
Published United States 01.01.2014
Subjects
Arthroplasty, Replacement, Hip
Arthroscopy
Autografts
Cartilage, Articular - injuries
Cell Transplantation - methods
Chondrocytes - transplantation
Femur Head - surgery
Hip Injuries - surgery
Humans
Suture Techniques
Wounds and Injuries - classification
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Summary:Management of injuries to the articular cartilage is complex and challenging; it becomes especially problematic in weight-bearing joints such as the hip. Several causes of articular cartilage damage have been described, including trauma, labral tears, and femoroacetabular impingement, among others. Because articular cartilage has little capacity for healing, nonsurgical management options are limited. Surgical options include total hip arthroplasty, microfracture, articular cartilage repair, autologous chondrocyte implantation, mosaicplasty, and osteochondral allograft transplantation. Advances in hip arthroscopy have broadened the spectrum of tools available for diagnosis and management of chondral damage. However, the literature is still not sufficiently robust to draw firm conclusions regarding best practices for chondral defects. Additional research is needed to expand our knowledge of and develop guidelines for management of chondral injuries of the hip.
ISSN:1067-151X
DOI:10.5435/JAAOS-22-01-46