Cartilage Restoration of the Hip

Stuhlman, Casey R.; Krych, Aaron J.; Levy, Bruce A.; Kelly, Bryan T.

doi:10.1053/j.otsm.2015.07.007

Cited by 3 publications

(5 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…OCA transplantation is a surgical procedure where allograft bone plugs are harvested and transferred from a cadaveric donor to the recipient’s chondral defect once it has been inspected and debrided to uniform edges [70]. The size of the defect must be measured, and a guide pin is used to determine the depth of the defect.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

“…The benefits of OCA include the use of hyaline cartilage and the lack of donor-site morbidity [70]. Using CT to guide donor tissue matching may assist in finding donor tissues which match recipient anatomy.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

“…Timing donation and implantation remains a challenge in OCA, as the time from harvest to transplant must be <28 days. The supply of donor tissue is limited and finding appropriate matches remain challenges of OCA in addition to the risk of disease transmission [70]. Other disadvantages include the cost, potential non-union of the transplant and failure of transplant transformation to live tissue.…”

Section: Treatment Modalitiesmentioning

confidence: 99%

See 2 more Smart Citations

Chondral lesions in the hip: a review of relevant anatomy, imaging and treatment modalities

Dallich

Rath

Atzmon

et al. 2019

Journal of Hip Preservation Surgery

View full text Add to dashboard Cite

The diagnosis and treatment of chondral lesions in the hip is an ongoing challenge in orthopedics. Chondral lesions are common and several classification systems exist to classify them based on severity, location, radiographic parameters, and potential treatment options. When working up a patient with a potential hip chondral lesion, a complete history, thorough physical exam, and ancillary imaging are necessary. The physical exam is performed with the patient in standing, supine, prone, and lateral positions. Plain film radiographs are indicated as the first line of imaging; however, magnetic resonance arthrogram is currently the gold standard modality for the diagnosis of chondral lesions outside of diagnostic arthroscopy. Multiple treatment modalities to address chondral lesions in the hip exist and new treatment modalities continue to be developed. Currently, chondroplasty, microfracture, cartilage transplants (osteochondral autograft transfer, mosaicplasty, Osteochondral allograft transplantation) and incorporation of orthobiologics (Autologous chondrocyte implantation, Autologous matrix-induced chondrogenesis, Mononuclear concentrate in platelet-rich plasma) are some techniques that have been successfully applied to address chondral pathology in the hip. Further refinement of these modalities and research in novel techniques continues to advance a surgeon’s ability to address chondral lesions in the hip joint.

show abstract

Section: Treatment Modalitiesmentioning

confidence: 99%

Section: Treatment Modalitiesmentioning

confidence: 99%

Section: Treatment Modalitiesmentioning

confidence: 99%

See 1 more Smart Citation

Chondral lesions in the hip: a review of relevant anatomy, imaging and treatment modalities

Dallich

Rath

Atzmon

et al. 2019

Journal of Hip Preservation Surgery

View full text Add to dashboard Cite

show abstract

“…The asphericity of the femoral head results in impingement with the anterosuperior acetabulum and subsequent delamination of the chondrolabral junction. 40 …”

mentioning

confidence: 99%

“…The severity of defects of the articular surface occurs along a spectrum, progressing from superficial or partial-thickness disruptions to complex and full-thickness defects with underlying subchondral bone loss. 40 Superficial cartilage lesions have limited capacity to spontaneously heal if left untreated. The management options for an articular cartilage injury have proliferated, including microfracture, articular cartilage repair, autologous chondrocyte implantation (ACI), autologous osteochondral graft transplantation (also known as mosaicplasty), osteochondral allograft transplantation, and the use of fibrin adhesive.…”

mentioning

confidence: 99%

Outcomes of Joint Preservation Procedures for Cartilage Injuries in the Hip: A Systematic Review and Meta-analysis

O’Connor

Minkara

Westermann

et al. 2018

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background:The detection and management of chondral injuries of the hip, especially in a younger patient population, may preempt joint degeneration. Although the outcomes of preservation techniques have been well described for other weightbearing joints, such as the knee, evidence for hip joint preservation after procedures such as microfracture and autologous chondrocyte implantation remains in its infancy.Purpose:To evaluate outcomes of joint preservation procedures in the hip, including the success rate and patient-reported outcomes (PROs).Study Design:Systematic review; Level of evidence, 4.Methods:This review was performed using the terms “hip arthroscopy,” “microfracture,” “autologous chondrocyte implantation,” “fibrin glue,” “osteochondral transfer,” and variations thereof in 5 electronic databases, yielding 325 abstracts. After the application of eligibility criteria, 19 articles were included. Weighted means were calculated for PROs, and pooled estimates were calculated for age, follow-up, chondral lesion size, and success of hip preservation procedures with a random-effects proportion meta-analysis.Results:A total of 1484 patients (1502 hips) were identified across 19 studies (mean age, 38.0 ± 1.3 years; mean follow-up, 31.8 ± 9.6 months). Hip joint preservation techniques demonstrated a high success rate, ranging from 85.6% to 99.7%. The mean pooled chondral lesion size was 2.5 ± 0.3 cm2 (95% CI, 1.9-3.0 cm2). Microfracture was the most frequent technique, utilized by 11 studies, and demonstrated an 89.6% success rate (95% CI, 82.4%-96.7%). The highest pooled success rate was exhibited by autologous membrane-induced chondrogenesis in 3 studies (99.7% [95% CI, 99.0%-100.0%]). All PROs demonstrated a statistically significant increase postoperatively, including the modified Harris Hip Score, Nonarthritic Hip Score, and Hip Outcome Score–Activities of Daily Living and Hip Outcome Score–Sports-Specific Subscale (all P < .05). The visual analog scale for pain also demonstrated a statistically significant decrease of 37.2% (P < .05).Conclusion:Hip preservation procedures demonstrate a high success rate, with microfracture representing the most frequently utilized cartilage preservation technique in the peer-reviewed literature. PROs significantly improved after surgery. Further investigation of hip preservation modalities with long-term follow-up is required to create evidence-based clinical recommendations and treatment algorithms.

show abstract

Managing Chondral Lesions: A Literature Review and Evidence-Based Clinical Guidelines

Banerjee

Sahanand

2021

JOIO

View full text Add to dashboard Cite

Cartilage Restoration of the Hip

Cited by 3 publications

References 42 publications

Chondral lesions in the hip: a review of relevant anatomy, imaging and treatment modalities

Chondral lesions in the hip: a review of relevant anatomy, imaging and treatment modalities

Outcomes of Joint Preservation Procedures for Cartilage Injuries in the Hip: A Systematic Review and Meta-analysis

Managing Chondral Lesions: A Literature Review and Evidence-Based Clinical Guidelines

Contact Info

Product

Resources

About