Microfracture in the Hip View Full Text


Ontology type: schema:Chapter     


Chapter Info

DATE

2016-12-21

AUTHORS

Fernando Portilho Ferro , Peter Goljan , Marc J. Philippon

ABSTRACT

Articular cartilage defects have been shown to rarely heal spontaneously, regardless of whether they are acute, chronic, or degenerative in nature. Currently there are a multitude of different procedures utilized by surgeons to repair cartilage damage, including abrasion chondroplasty, osteochondral drilling, osteoarticular autograft or allograft plugs, bulk allograft, chondrocyte implantation, and microfracture. The goal of microfracture is to stimulate a patient’s own bone marrow cells to fill the defect with repair tissue. The subchondral plate just beneath the damaged area is punctured, which allows pluripotential stem cells to migrate upwards to the desired region and form a marrow-rich clot. Once the clot is in place, these stem cells may then differentiate into repair tissue and fill the damaged area. Crutch-assisted touchdown weight-bearing is allowed for 6–8 weeks, with tapering to full weight bearing after that. Early results following microfracture have been favorable, with one study reporting 86 % success rate. Two studies have shown that microfracture results in excellent fill at second-look arthroscopy. Microfracture has also been shown to be a successful treatment in high-level athletes who wish to return to play. With appropriate patient selection and proper surgical technique, microfracture has become an excellent option for full-thickness cartilage lesions within the hip. More... »

PAGES

665-669

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/978-1-4614-0694-5_66

DOI

http://dx.doi.org/10.1007/978-1-4614-0694-5_66

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1008185367


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