Arthroscopic Microfracture of Hip Chondral Lesions
Microfracture of hip chondral lesions has been performed for more than a decade with modified treatment principles and techniques from knee arthroscopy. This note and accompanying video review the pertinent techniques, pearls, and pitfalls of the microfracture procedure in the treatment of hip chond...
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2017-12-01
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doaj-c9c4160e6fc5464abbc4e79aa88337042021-06-10T04:54:55ZengElsevierArthroscopy Techniques2212-62872017-12-0166e2295e2299Arthroscopic Microfracture of Hip Chondral LesionsH. Atil Atilla, M.D.0T. David Luo, M.D.1Allston J. Stubbs, M.D., M.B.A.2Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.; Department of Orthopaedics and Traumatology, Mevki Military Hospital, Ankara, TurkeyDepartment of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, U.S.A.; Address correspondence to Allston J. Stubbs, M.D., M.B.A., Department of Orthopaedic Surgery, Wake Forest Baptist Medical Center, Medical Center Blvd., Winston-Salem, NC 27157, U.S.A.Microfracture of hip chondral lesions has been performed for more than a decade with modified treatment principles and techniques from knee arthroscopy. This note and accompanying video review the pertinent techniques, pearls, and pitfalls of the microfracture procedure in the treatment of hip chondral lesions. After debridement of damaged chondral tissue, the size of the lesion is approximated to determine the number of microfracture holes to create. The working portal may be adjusted based on the site of the lesion. Microfracture picks of different angles are used to ensure perpendicular advancement to a depth of 3 to 4 mm in the subchondral bone. The holes are placed at a gap of approximately 3 to 4 mm. The debris is washed out to obtain open holes connecting the marrow with the articular surface. The microfracture procedure should be performed near the end of the overall procedure to secure the bleeding bone marrow within the joint and prevent washout.http://www.sciencedirect.com/science/article/pii/S2212628717303055 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
H. Atil Atilla, M.D. T. David Luo, M.D. Allston J. Stubbs, M.D., M.B.A. |
spellingShingle |
H. Atil Atilla, M.D. T. David Luo, M.D. Allston J. Stubbs, M.D., M.B.A. Arthroscopic Microfracture of Hip Chondral Lesions Arthroscopy Techniques |
author_facet |
H. Atil Atilla, M.D. T. David Luo, M.D. Allston J. Stubbs, M.D., M.B.A. |
author_sort |
H. Atil Atilla, M.D. |
title |
Arthroscopic Microfracture of Hip Chondral Lesions |
title_short |
Arthroscopic Microfracture of Hip Chondral Lesions |
title_full |
Arthroscopic Microfracture of Hip Chondral Lesions |
title_fullStr |
Arthroscopic Microfracture of Hip Chondral Lesions |
title_full_unstemmed |
Arthroscopic Microfracture of Hip Chondral Lesions |
title_sort |
arthroscopic microfracture of hip chondral lesions |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2017-12-01 |
description |
Microfracture of hip chondral lesions has been performed for more than a decade with modified treatment principles and techniques from knee arthroscopy. This note and accompanying video review the pertinent techniques, pearls, and pitfalls of the microfracture procedure in the treatment of hip chondral lesions. After debridement of damaged chondral tissue, the size of the lesion is approximated to determine the number of microfracture holes to create. The working portal may be adjusted based on the site of the lesion. Microfracture picks of different angles are used to ensure perpendicular advancement to a depth of 3 to 4 mm in the subchondral bone. The holes are placed at a gap of approximately 3 to 4 mm. The debris is washed out to obtain open holes connecting the marrow with the articular surface. The microfracture procedure should be performed near the end of the overall procedure to secure the bleeding bone marrow within the joint and prevent washout. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628717303055 |
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