Mosaicplasty for the treatment of femoral head defect after incorrect resorbable screw insertion

Hart, Radek; Janecek, M; Višňa, Petr; Bucek, P; Kočiš, Ján

doi:10.1016/j.arthro.2003.10.025

Cited by 64 publications

(35 citation statements)

References 8 publications

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“…Hart et al [21] has also reported a case of mosaicplasty for an osteochondral defect in the femoral head. The defect arose in a 28-year-old patient due to migration of a resorbable screw into the hip joint that was used for open reduction internal fixation of an acetabular fragment following a posterior hip dislocation.…”

Section: Mosaicplastymentioning

confidence: 99%

Operative treatment of chondral defects in the hip joint: a systematic review

Jordan

Thiel

Chahal

et al. 2012

Curr Rev Musculoskelet Med

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Young patients with cartilage defects in the hip present a complex problem for the treating physician with limited treatment modalities available. Cartilage repair/replacement techniques have shown promising results in other joints, however, the literature regarding the hip joint is limited. The purpose of the current study is to conduct a systematic review of clinical outcomes following various treatments for chondral lesions of the hip and define the techniques for the treatment of these cartilage defects. The full manuscripts of 15 studies were reviewed for this systematic review including case studies, case series, and clinical studies. A variety of techniques have been reported for the treatment of symptomatic chondral lesions in the hip. Microfracture, cartilage repair, autologous chondrocyte implantation, mosaicplasty, and osteochondral allografting have all been used in very limited case series. Although good results have been reported, most studies lack both a control group and a large number of patients. However, the reported results in this article do provide a good foundation for treatments and stimulant for further study in an inherently difficult to treat young patient population with articular cartilage defects in the hip.

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Section: Mosaicplastymentioning

confidence: 99%

Operative treatment of chondral defects in the hip joint: a systematic review

Jordan

Thiel

Chahal

et al. 2012

Curr Rev Musculoskelet Med

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“…On the contrary, owing to the autologous nature of this technique, it is limited by donor site morbidity, graft availability and the potential for dead space between the grafts [32]. Hart et al [33] first reported the case of an osteochondral defect of the femoral head and subsequent treatment using mosaicplasty with open surgical dislocation of the hip. At six months following surgery, the patient had a full range of painless movement of the hip with no further complaints of pain related to activities.…”

Section: Osteochondral Autograft Transplantation (Mosaicplasty)mentioning

confidence: 99%

Outcomes of cartilage repair techniques for chondral injury in the hip—a systematic review

Nakano

Gohal

Duong

et al. 2018

International Orthopaedics (SICOT)

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Objective/purpose The aim of the study was to assess the options of treatment and their related outcomes for chondral injuries in the hip based on the available evidence whilst highlighting new and innovative techniques. Methods A systematic review of the literature from PubMed (Medline), EMBASE, Google Scholar, British Nursing Index (BNI), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Allied and Complementary Medicine Database (AMED) was undertaken from their inception to March 2017 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Clinical outcome studies, prospective/retrospective case series and case reports that described the outcome of cartilage repair technique for the chondral injury in the hip were included. Studies on total hip replacement, animal studies, basic studies, trial protocols and review articles were excluded. Results The systematic review found 21 relevant papers with 596 hips. Over 80% of the included studies were published in or after 2010. Most studies were case series or case reports (18 studies, 85.7%). Arthroscopy was used in 11 studies (52.4%). The minimum follow-up period was six months. Mean age of the participants was 37.2 years; 93.5% of patients had cartilage injuries of the acetabulum and 6.5% of them had injuries of the femoral head. Amongst the 11 techniques described in the systematic review, autologous matrix-induced chondrogenesis, osteochondral autograft transplantation and microfracture were the three frequently reported techniques. Conclusion Over ten different techniques are available for cartilage repair in the hip, and most of them have good short-to medium-term outcomes. However, there are no robust comparative studies to assess superiority of one technique over another, and further research is required in this arena.

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“…Reports of successful use of cell-based cartilage repair or autologous whole-tissue transplantation for treatment of large articular cartilage defects of the femoral head are rare: we found only one reference to osteoarticular transfer (mosaicplasty) for treatment of articular defects of the hip [16]. The case involved a patient with a deep osteochondral defect of the femoral head caused by a penetrated resorbable screw after fixation of a displaced large single fragment of the posterior acetabular rim.…”

Section: Discussionmentioning

confidence: 99%

Case Report: Fresh-Stored Osteochondral Allograft for Treatment of Osteochondritis Dissecans the Femoral Head

Evans

Providence

2010

Clinical Orthopaedics &Amp; Related Research

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Osteochondral defects of the femoral head are exceedingly rare, with limited treatment options. Restoration procedures for similar defects involving the knee and ankle have been well described. In this report, we present a young patient who had a symptomatic osteochondral defect of the femoral head develop secondary to trauma and underwent subsequent treatment using a fresh-stored osteochondral allograft via a trochanteric osteotomy. At the 1-year followup, the patient was symptom free with nearcomplete incorporation of the graft radiographically. Our observations in this case suggest osteoarticular implantation may be an appropriate alternative to consider when treating osteochondral defects of the femoral head.

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Mosaicplasty for the treatment of femoral head defect after incorrect resorbable screw insertion

Cited by 64 publications

References 8 publications

Operative treatment of chondral defects in the hip joint: a systematic review

Operative treatment of chondral defects in the hip joint: a systematic review

Outcomes of cartilage repair techniques for chondral injury in the hip—a systematic review

Case Report: Fresh-Stored Osteochondral Allograft for Treatment of Osteochondritis Dissecans the Femoral Head

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