Arthroscopic Retrograde Osteochondral Autologous Transplantation to Chondral Lesion in Femoral Head

Cetinkaya, Sarper M.; Toker, Berkin; Taşer, Ömer

doi:10.3928/01477447-20140528-64

Cited by 19 publications

(12 citation statements)

References 9 publications

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“…A technique for arthroscopic assisted autologous OT for the femoral head has also been reported [ 31 ]. In this procedure, a tunnel is created from the lateral cortex of the femur via the femoral neck and into the chondral defect.…”

Section: Resultsmentioning

confidence: 99%

The role of orthobiologics in hip preservation surgery

Alshameeri

McCaskie

2015

J Hip Preserv Surg

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The potential regenerative role of different orthobiologics is becoming more recognized for the treatment of chronic and degenerative musculoskeletal conditions. Over the last few years there has been an increasing number of publications on cell therapy and other orthobiologics for the treatment of avascular necrosis of the femoral head and other hip conditions with promising short–term clinical results. In this article, we have used a systematic search of the literature to identify potentially relevant topics on orthobiologics and then selected those most applicable to hip preservation surgery. We identified several innovative strategies and present a summary of the currently available evidence on their potential role in hip preservation surgery. For many of these treatment strategies there was a lack of clinical evidence and therefore we suggest that there is a need for comparative studies in this field.

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Section: Resultsmentioning

confidence: 99%

The role of orthobiologics in hip preservation surgery

Alshameeri

McCaskie

2015

J Hip Preserv Surg

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“…The arthroscopic technique used in the present report is a new concept being first described by Çetinkaya et al [13]. They used a retrograde osteochondral autograft transplantation technique combined with hip arthroscopy in two patients.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic-assisted retrograde mosaicplasty for an osteochondral defect of the femoral head without performing surgical hip dislocation

Kocadal

Akman

Güven

et al. 2017

SICOT-J

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Osteochondral autograft transplantation (mosaicplasty) for the osteochondral defects of the femoral head is generally performed with safe dislocation of the hip joint. Here, we present a 27-year-old male patient who had a symptomatic osteochondral defect of the femoral head and underwent mosaicplasty applied by hip arthroscopy without surgical hip dislocation. The preoperative radiological evaluation showed a focal osteochondral defect on the weight-bearing surface of the femoral head. With the assistance of hip arthroscopy, the defect area was reconstructed with osteochondral plug, which was taken from the ipsilateral knee, inserted in a retrograde fashion, and positioned with the spherical surface of the femoral head cartilage under fluoroscopic and arthroscopic control. At the final follow-up (26 months postoperatively), he had full range of motion (ROM) without pain and radiographic evaluation showed near complete incorporation of the graft with preservation of the native joint space. Mosaicplasty can be applied in a retrograde fashion with the assistance of hip arthroscopy without using surgical hip dislocation and may be an alternative treatment option for the osteochondral defects of the femoral head in young patients.

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“…It has been demonstrated that cartilage defects are moderately common in dysplastic hips 3–6 and proved to be highly correlated with hip pain, stiffness, and dysfunction in movement and function. 6–11 Repair of cartilage defects in the hip has been reported to yield good clinical and radiologic outcomes through osteochondral 7 or chondrocyte 35 transplantation. To date, however, a systematic evaluation of the improvement in functionality, physical health, quality of life, and tolerability in association with the cartilage repair after transplantation of periosteal autografts has not yet been performed in dysplastic hip in older children.…”

Section: Discussionmentioning

confidence: 99%

The Periosteal Autografts Transplantation for Cartilage Defects of the Hip in Older Children With Developmental Dysplasia as an Adjunctive Procedure

Shi

et al. 2016

Medicine

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Cartilage lesions are at a high prevalence in dysplastic hips and may relate to arthritic changes and hip joint dysfunction. To date, the effectiveness of repair of articular cartilage defects in the dysplastic hips has not yet been thoroughly evaluated. Here we retrospectively reviewed the effects of acetabuloplasty procedures with/without concomitant autologous tibial periosteal transplantation (ATPT) for articular cartilage defects of the hip in older children with developmental dysplasia of the hip (DDH).Older DDH children with focal cartilage defects of the acetabular or femoral cartilage or both in the hip joint were treated by acetabuloplasty procedures with (Group I) or without (Group II) concomitant ATPT to evaluate the improvements in range of motion (ROM), pain relief of hip, walking tolerability (WL), radiologic evaluations, and outcomes in the long-term follow-up.More satisfactory functional outcome is readily achieved among patients treated with combined acetabuloplasty and ATPT, evidenced by marked pain relief and improved ROM and WL. The latest favorable radiologic evaluation was 70.6% in Group I and 60.0% in Group II, respectively. More hips exhibited congruency between the femoral head and the shell, with less deformity of femoral head and acetabulum or narrowed joint space in Group I. Few major complications were recorded in Group I.Application of periosteal autograft for repair of cartilage defects within the hip joint might be an effective adjunctive treatment for acetabuloplasty in preventing stiffness, reducing pain, and improving ROM and outcomes in hip rehabilitation in the long-term follow-up in older children with DDH.

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Arthroscopic Retrograde Osteochondral Autologous Transplantation to Chondral Lesion in Femoral Head

Cited by 19 publications

References 9 publications

The role of orthobiologics in hip preservation surgery

The role of orthobiologics in hip preservation surgery

Arthroscopic-assisted retrograde mosaicplasty for an osteochondral defect of the femoral head without performing surgical hip dislocation

The Periosteal Autografts Transplantation for Cartilage Defects of the Hip in Older Children With Developmental Dysplasia as an Adjunctive Procedure

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