Acetabular Microfracture in Hip Arthroscopy: Clinical Outcomes with Minimum 5-Year Follow-Up
Authors
Domb BG, Rybalko D, Mu B, Litrenta J, Chen AW, Perets I
Journal: Hip Int. 2018 Nov;28(6):649-656.
DOI: 10.1177/1120700018760263
PMID: 29865889
Background
This study assesses the mid-term clinical outcomes of acetabular microfracture performed during hip arthroscopy to treat full-thickness chondral lesions.
Methods
A cohort of 53 patients who underwent acetabular microfracture during hip arthroscopy was followed for a minimum of 5 years. Patient-reported outcomes (PROs), visual analog scale (VAS), and patient satisfaction were recorded.
Key Findings
At follow-up, significant improvements in all PROs and VAS were noted. 72.1% of hips survived without the need for total hip arthroplasty (THA). Four patients (10.8%) underwent secondary arthroscopy.
Conclusions
Acetabular microfracture as part of hip arthroscopy provides favorable outcomes with 72% survivorship at 5 years. Careful patient selection is critical to minimize the risk of conversion to THA.
What Does This Mean for Patients
Microfracture during hip arthroscopy is a promising option for treating full-thickness acetabular cartilage defects with good long-term outcomes in selected patients.
DOI: 10.1177/1120700018760263