Autologous matrix-induced chondrogenesis and bone marrow aspirate concentrate compared with microfracture for arthroscopic treatment of femoroacetabular impingement and chondral lesions of the hip: bridging the osteoarthritis gap and facilitating enhanced recovery.
Journal
Journal of hip preservation surgery
ISSN: 2054-8397
Titre abrégé: J Hip Preserv Surg
Pays: England
ID NLM: 101643347
Informations de publication
Date de publication:
Aug 2020
Aug 2020
Historique:
received:
23
04
2020
revised:
05
08
2020
accepted:
15
08
2020
entrez:
5
5
2021
pubmed:
6
5
2021
medline:
6
5
2021
Statut:
epublish
Résumé
In an attempt to bridge the osteoarthritis (OA) gap, this study compared biological reconstruction with traditional microfracture (MF) techniques in patients with femoroacetabular impingement and focal cartilage defects. Cohorts of two groups were investigated; age, gender and Tonnis grade matched comparison for outcomes between MF and newer biological reconstruction techniques hip arthroscopy surgery using autologous matrix-induced chondrogenesis and bone marrow aspirate combination. Outcomes investigated were pre-op and post-op mean iHOT-12 scores up to 18 months after surgery with a Kaplan-Meier survivorship analysis. Of 111 patients, 46 patients underwent MF and 65 biological reconstruction hip arthroscopy including cam/pincer osteoplasty and labral repair surgery. Age range was 20-69, mean age 45 years for both groups, Tonnis grading was as follows: Grade 0: 26% versus 30%, Grade 1: 52% versus 47% and Grade 2: 22% versus 23% in MF and biological reconstruction groups, respectively. The mean post-operative iHOT-12 score differences between MF and biological reconstruction were significant at 1-year minimum follow-up (
Identifiants
pubmed: 33948205
doi: 10.1093/jhps/hnaa047
pii: hnaa047
pmc: PMC8081409
doi:
Types de publication
Journal Article
Langues
eng
Pagination
503-510Informations de copyright
© The Author(s) 2020. Published by Oxford University Press.
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