Microfracture in Hip Arthroscopy. Keep It Simple

Despite all the advances in hip arthroscopy, microfracture is still the workhorse for treating focal and full-thickness cartilage lesions. The success of this treatment is owed to its reliability and simplicity. Given the structure of the hip joint, however, there are challenges to this procedure us...

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Published inArthroscopy techniques (Amsterdam) Vol. 8; no. 9; pp. e1063 - e1067
Main Authors Maldonado, David R., Chen, Jeffrey W., Lall, Ajay C., Kyin, Cynthia, Walker-Santiago, Rafael, Shapira, Jacob, Rosinsky, Philip J., Domb, Benjamin G.
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier Inc 01.09.2019
Elsevier
Subjects
Technical Note
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Summary:Despite all the advances in hip arthroscopy, microfracture is still the workhorse for treating focal and full-thickness cartilage lesions. The success of this treatment is owed to its reliability and simplicity. Given the structure of the hip joint, however, there are challenges to this procedure using a conventional microfracture pick. This note presents our current and preferred microfracture technique using a curve drill guide and flexible drill. This method offers greater range of access to different regions of the joint with ease, thus ensuring a reproducible and quicker procedure with less risk.
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ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2019.05.020