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Hip Cartilage Restoration: Overview

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Hip Arthroscopy and Hip Joint Preservation Surgery

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Abstract

The diagnosis and treatment of chondral lesions in the hip is an ongoing challenge in orthopedics. Cartilage lesions in the hip rarely exist as isolated pathology and most often present secondary to conditions such as labral tears, femoroacetabular impingement (FAI), developmental dysplasia of the hip (DDH), sequelae of childhood diseases (Slipped capital femoral epiphysis and Perthes disease), or others. 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, debridement, microfracture, cartilage transplants (osteochondral autograft transfer system, mosaicplasty, osteochondral allograft transplantation), and incorporation of orthobiologics (autologous chondrocyte implantation, autologous matrix-induced chondrogenesis, etc.) are some techniques that have been successfully applied to address chondral pathology in the hip. We described the options of treatment, treatment algorithm, their related outcomes, and surgical techniques for chondral injuries in the hip based on the available evidence.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Musculoskeletal Research Center, Washington University School of Medicine, St Louis, MO, USA

    Tomoyuki Kamenaga, Masahiko Haneda & Cecilia Pascual-Garrido

Authors
  1. Tomoyuki Kamenaga
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  2. Masahiko Haneda
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  3. Cecilia Pascual-Garrido
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Corresponding author

Correspondence to Cecilia Pascual-Garrido .

Editor information

Editors and Affiliations

  1. Department of Orthopaedic Surgery, Division of Sports Medicine, Section of Young Adult Hip Surgery, Rush University Medical Center, Chicago, IL, USA

    Shane J. Nho

  2. Sports Medicine and Shoulder Service, Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA

    Asheesh Bedi

  3. Department of Orthopaedic Surgery, Joint Preservation and Cartilage Restoration Center, University Hospitals Case Medical Center, Cleveland, OH, USA

    Michael J. Salata

  4. Department of Orthopaedic Surgery, Duke University School of Medicine, Durham, NC, USA

    Richard C. Mather III

  5. Department of Orthopaedic Surgery, Sports Medicine and Shoulder Service, Center for Hip Preservation Surgery Weill Medical College of Cornell University, Hospital for Special Surgery, New York, NY, USA

    Bryan T. Kelly

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  1. No affiliation provided

    Jorge Chahla M.D. PhD

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Kamenaga, T., Haneda, M., Pascual-Garrido, C. (2022). Hip Cartilage Restoration: Overview. In: Nho, S.J., Bedi, A., Salata, M.J., Mather III, R.C., Kelly, B.T. (eds) Hip Arthroscopy and Hip Joint Preservation Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-43240-9_156

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