Surgical Technique: Arthroscopic Microfracture of Acetabular Articular Cartilage Lesions

  • James E. Voos
  • Struan H. Coleman
  • Richard W. Kang
  • Nicholas C. Barnthouse
Living reference work entry

Abstract

Acetabular articular cartilage lesions can occur as a result of femoroacetabular impingement, traumatic subluxation or dislocation, labral tears, loose bodies, osteonecrosis, osteochondritis dessicans, slipped capital femoral epiphysis, hip dysplasia, or early degenerative joint disease. Cartilage lesions cause significant morbidity, particularly in athletes and active patients. Microfracture techniques in the setting of hip arthroscopy have been developed recently. The ideal patient is a young (<50–60 years old), active patient willing to follow the postoperative rehabilitation protocol. The ideal lesion to treat with microfracture is well contained, focal (<2–4 cm), Outerbridge grade IV, and with intact subchondral bone. Surgical outcomes in small case series have shown promising clinical outcomes.

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • James E. Voos
    • 1
  • Struan H. Coleman
    • 2
  • Richard W. Kang
    • 2
  • Nicholas C. Barnthouse
    • 3
  1. 1.Division of Sports Medicine, Department of Orthopaedic SurgeryUniversity Hospitals Case Medical CenterClevelandUSA
  2. 2.Sports Medicine, Hospital for Special SurgeryNew YorkUSA
  3. 3.School of MedicineUniversity of Kansas CityKansas CityUSA

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