Outcomes of Arthroscopic Joint Preservation Techniques for Chondral Lesions in the Hip: An Updated Systematic Review

Akhtar, Muzammil; Wen, Jimmy; Razick, Daniel; Dhaliwal, Anand; Aamer, Sonia; Asim, Maaz; Tokhi, Ilham; Saeed, Ali; Shelton, Trevor

doi:10.1016/j.arthro.2023.11.019

Arthroscopy: The Journal of Arthroscopic & Related Surgery

2024

DOI: 10.1016/j.arthro.2023.11.019

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Outcomes of Arthroscopic Joint Preservation Techniques for Chondral Lesions in the Hip: An Updated Systematic Review

Muzammil Akhtar,

Jimmy Wen,

Daniel Razick

et al.

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2024

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Cited by 3 publications

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Influence of cartilage defects and a collagen gel on integrity of corresponding intact cartilage: a biomechanical in-vitro study

Pieringer,

Milz,

Imhoff

et al. 2024

Arch Orthop Trauma Surg

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Introduction Numerous cartilage repair procedures have been developed for focal lesions to minimize suffering and possibly prevent the development of osteoarthritis with a focus on so-called one-step procedures. The aim of this work was to investigate the effects of both focal cartilage defects and a biomaterial (ChondroFiller) on the corresponding articular cartilage. Materials and Methods On a friction test stand, 18 porcine osteochondral cylinders were tested in six experimental setups under cyclic loading (33 N) against a friction partner in saline solution. The friction partner (cartilage, bone, cartilage defect, cartilage defect with ChondroFiller) and the running times (1 hour and 6 hours) were varied. The damage to the osteochondral cylinders was assessed histologically using a visual damage classification. Results The cartilage versus bone group showed severe cartilage damage in both the one-hour and six-hour experiments, with an average damage score of 3.5. Damage in the cartilage versus cartilage defect group was moderate, with damage values of 2.5 (1 h) and 2.67 (6 h). The cartilage versus cartilage defect with ChondroFiller group showed a damage value of 2.67 for the one-hour and 2.5 for the six-hour trials. Conclusions Even focal grade IV cartilage lesions can lead to significant damage to the corresponding cartilage in vitro. The damage could not be reduced by the use of ChondroFiller, likely because of the initial instability of this biomaterial. Therefore, a biomaterial must be stable in the beginning with regard to full weight-bearing, or joint loading should be delayed until stable filling of the defect is achieved.

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Influence of cartilage defects and a collagen gel on integrity of corresponding intact cartilage: a biomechanical in-vitro study

Pieringer,

Milz,

Imhoff

et al. 2024

Arch Orthop Trauma Surg

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Arthroscopic Treatment of Acetabular Chondral Delamination

Jochl,

Kopolovich,

Afetse

et al. 2024

Arthroscopy Techniques

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Current concept of hip arthroscopy in patients with osteoarthritis: is it effective as a hip preservation surgery?

Cheon,

Lee,

Park

2024

aosm

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Outcomes of Arthroscopic Joint Preservation Techniques for Chondral Lesions in the Hip: An Updated Systematic Review

Cited by 3 publications

References 38 publications

Influence of cartilage defects and a collagen gel on integrity of corresponding intact cartilage: a biomechanical in-vitro study

Influence of cartilage defects and a collagen gel on integrity of corresponding intact cartilage: a biomechanical in-vitro study

Arthroscopic Treatment of Acetabular Chondral Delamination

Current concept of hip arthroscopy in patients with osteoarthritis: is it effective as a hip preservation surgery?

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