Arthroscopic hip surgery with a microfracture procedure of acetabular full-thickness chondral damage. Cohort study with a 3-year follow-up

J Más Martínez; J Sanz-Reig; C M Verdú Román; D Bustamante Suárez de Puga; M Morales Santías; E Martínez Giménez

doi:10.1016/j.recot.2018.02.001

Arthroscopic hip surgery with a microfracture procedure of acetabular full-thickness chondral damage. Cohort study with a 3-year follow-up

Rev Esp Cir Ortop Traumatol (Engl Ed). 2018 Jul-Aug;62(4):248-256. doi: 10.1016/j.recot.2018.02.001. Epub 2018 Mar 11.

[Article in English, Spanish]

Authors

J Más Martínez¹, J Sanz-Reig², C M Verdú Román², D Bustamante Suárez de Puga², M Morales Santías², E Martínez Giménez²

Affiliations

¹ Traumatología Vistahermosa, Clínica Vistahermosa, Alicante, España. Electronic address: jmas@traumavist.com.
² Traumatología Vistahermosa, Clínica Vistahermosa, Alicante, España.

PMID: 29534869
DOI: 10.1016/j.recot.2018.02.001

Abstract

Introduction and purpose: Management of injuries to the articular cartilage is complex and challenging. Our purpose was to assess outcomes of a cohort of patients who underwent hip arthroscopy with full-thickness chondral damage treated with microfracture and compare these outcomes with those from a similar cohort of patients who did not.

Material and methods: We prospectively gathered the data of 31 hips treated with microfracture from January 2009 to January 2016. In the cohort of hips without chondral damage there were 49 hips. All patients were assessed pre- and postoperatively with 4 patient-reported outcome instruments.

Results: The mean follow-up was 36.2 months in the cohort of patients with full-thickness chondral damage, and 36.6 months in the cohort of patients without chondral damage. Both groups demonstrated significant improvement in all patient-reported outcome instruments between preoperative and final follow-up. There was no statistically significant difference between both cohorts at final follow-up.

Discussion: This study showed that patients undergoing microfracture during hip arthroscopy had significant improvement in all patient-reported outcome instruments during follow-up. The greatest improvement was noted at 6 months postoperatively. Both groups showed no significant difference in final patient-reported outcome instruments scores.

Keywords: Arthroscopy; Articular cartilage; Artroscopia; Cadera; Cartílago articular; Hip; Microfracturas; Microfracture.