医学
股骨髋臼撞击
软骨
自体软骨细胞移植
外科
软骨损伤
髋关节镜检查
相伴的
软骨细胞
关节镜检查
软骨发生
关节软骨
骨关节炎
病理
解剖
替代医学
作者
Alejandro Marquez‐Lara,Allston J. Stubbs
出处
期刊:Arthroscopy
[Elsevier]
日期:2023-05-01
卷期号:39 (5): 1195-1197
标识
DOI:10.1016/j.arthro.2023.01.011
摘要
A comprehensive approach to arthroscopic hip preservation in patients whose pathology includes cartilage defects may include microfracture; microfracture has been shown to have long-lasting positive effects in most patients treated for femoroacetabular impingement plus full-thickness chondral pathology. Although modern cartilage treatment alternatives such as autologous chondrocyte implantation, autologous matrix-induced chondrogenesis scaffolds, allograft or autograft particulate cartilage graft, and others have been described for the treatment of high-degree cartilage acetabular lesions, microfracture remains a foundational tool in cartilage restoration procedures. That said, when determining outcome, comorbidity must be considered, and, moreover, it is difficult to determine whether outcomes are only attributable to the microfracture versus concomitant procedures or changes in postoperative activity of operated patients.
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