Role of Cartilage Surgery and Hip Arthroscopy in the Management of Early Hip Arthritis: Current Concepts
- Pp. 128-139 (12)R. Papalia, R. Zini, B. Zampogna, V. Denaro and N. Maffulli
The main aim of cartilage surgery and hip arthroscopy in the management of early hip arthritis is to avoid conversion to total hip arthroplasty, and the earlier the treatment, the greater is the possibility to achieve this purpose. Several techniques have been proposed, such as microfracture, simple debridement, and autologous chondrocyte implantation-matrix assisted autologous chondrocyte implantation (ACI-MACI) for arthroscopic approach and open ACI-MACI and mosaicplasty for open surgery. Arthroscopic debridement associated with microfracture, depending on the patient’s condition, represents the best choice for the treatment of early stages osteoarthritis (OA) of the hip joint, especially where an associated chondral defect has to be fixed. The cause of OA must be promptly individuated and the cartilage surgery must always be associated (except for degenerative OA) with procedures aimed to fix any other structural defect in order to avoid further degeneration and to improve the outcome of the surgery.