Biological Augments for Acetabular Chondral Defects in Hip Arthroscopy-A Scoping Review of the Current Clinical Evidence

Overview

Journal Curr Rev Musculoskelet Med

Date 2021 Nov 15

PMID 34778917

Citations 1

Authors

Johnny Rayes

Sara Sparavalo

Ivan Wong

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: A wide array of joint-preserving surgical techniques exists in the management of acetabular chondral defects (ACDs). The purpose of this review is to summarize the clinical outcomes of the recent biologics used to treat ACDs during hip arthroscopy.

Recent Findings: Increasing evidence is available for different biological solutions used in the hip. Studies have shown promising outcomes with minimal complications when using biologics as augmentation to microfracture (MF), including different scaffolds or stem cells, or to enhance autologous chondrocyte implantation (ACI). However, data so far is scarce, and more trials and longer follow-ups are needed to better delineate the appropriate indications and benefits for each technique. Presently, the level of evidence is low, but in general, biologics appear safe and trend toward beneficial compared to standard surgical techniques. Augmented MF is recommended for small to medium ACDs, and matrix-assisted ACI or three-dimensional ACI is recommended for medium to large defects.

Citing Articles

Current understanding of articular cartilage lesions in femoroacetabular impingement syndrome.

Li Z, Yu J, An P, Zhang W, Tian K J Orthop Surg Res. 2024; 19(1):886.

PMID: 39734214 PMC: 11684245. DOI: 10.1186/s13018-024-05322-6.

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