Cartilage Restoration of the Hip

• Published in: Operative techniques in sports medicine Vol. 23; no. 3; pp. 175 - 183
• Main Authors: Stuhlman, Casey R., MD, Krych, Aaron J., MD, Levy, Bruce A., MD, Kelly, Bryan T., MD
• Format: Journal Article
• Language: English
• Published: Philadelphia Elsevier Inc 01.09.2015; Elsevier Limited
• Subjects: acetabulum; cartilage; Defects; femoral head; hip; Knee; Medical imaging; microfracture; mosaicplasty; NMR; Nuclear magnetic resonance; OAT; OCA; Orthopedics; osteochondral allograft transplant; osteochondral autograft transfer; Pain; Pathology; Patients; preservation; Rates of return; Rheumatology; Sports injuries; surgical technique; microfracture; osteochondral allograft transplant; femoral head; surgical technique; preservation; osteochondral autograft transfer; OAT; mosaicplasty; acetabulum; cartilage; OCA; hip
• ISSN: 1060-1872; 1557-9794
• DOI: 10.1053/j.otsm.2015.07.007

The management of articular cartilage defects within the hip represents a challenging problem. Surgical options currently available for the treatment of these injuries remain limited. Although restoration procedures for chondral and osteochondral lesions in the knee have been well published previously, there is a paucity of data available to guide surgeons in the selection, technical performance, and anticipated outcomes of these procedures within the hip. The purpose of this review is to outline the indications, surgical techniques, and outcomes for available cartilage restoration procedures of the hip, including microfracture, osteochondral autograft transfer, and osteochondral allograft transplantation.