AANA Hip Arthroscopy - September 2024-Hip Cartilage Repair_ Microfracture, Biocartilage, De Novo, Prochondrix

Hip Cartilage Repair_ Microfracture, Biocartilage, De Novo, Prochondrix

Video Transcription

Video Summary

The talk focuses on hip cartilage repair techniques addressing chondral injuries common in femoroacetabular impingement (FAI). It highlights the mechanical and biochemical causes of cartilage damage, emphasizing that treatments effective in the knee may not translate directly to the hip due to different cellular environments and healing capacities. The Beck classification guides lesion grading from mild (grade 1) to full-thickness defects (grade 5). Partial-thickness lesions are often treated by debridement or stabilization, while full-thickness defects require more advanced therapies. Microfracture is preferred for small defects in younger patients but demonstrates declining effectiveness after two years. For larger or failed cases, cartilage restoration options include biocartilage, osteochondral allografts, and particularly prochondrix grafts, which can be performed arthroscopically with good incorporation and outcomes. The presentation underscores the commonality of cartilage defects in hip surgeries and the evolving off-the-shelf solutions improving treatment durability and patient recovery.

Keywords

hip cartilage repair

femoroacetabular impingement

Beck classification

microfracture technique

prochondrix grafts