Specialized Toolkit Series: Arthroscopic Hip Treatments-Cartilage Treamtent

Video Transcription

Video Summary

This lecture discusses challenges and advancements in treating hip cartilage defects, particularly in femoroacetabular impingement (FAI) syndrome. Cartilage lesions vary in type and severity, with delamination common and microfracture treatment showing good short-term but poor long-term results, including risks of osteophyte formation. The speaker notes hip cartilage repair differs biologically from the knee, requiring tailored approaches. Treatment options range from stabilization of partial-thickness defects to restorative techniques like osteochondral allograft implantation for full-thickness defects. New surgical techniques, such as postless hip arthroscopy, provide improved access and patient safety. The speaker prefers osteochondral allografts, which offer structural support, prevent osteophytes, and yield better durability than microfracture, especially for young active patients. Emerging biologic grafts and bone grafting for subchondral cysts are also discussed. Overall, individualized, restorative strategies are emphasized for optimal, durable hip cartilage repair outcomes.

Asset Caption

Richard C. Mather, III, M.D., M.B.A.

Keywords

hip cartilage defects

femoroacetabular impingement

microfracture treatment

osteochondral allograft

postless hip arthroscopy

biologic grafts