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Arthroscopic Treatment of Hip Chondral Defect with Microfracture and Micronized Cartilage Allograft Augmentation

February 10, 2018

Contributors: Elizabeth A Howse, MD; Tianyi David Luo, MD; Samuel Rosas, MD; Michael S. Schallmo, BS; Allston J Stubbs, IV MD; Alejandro Marquez-Lara, MD; Alejandro Marquez-Lara, MD

Arthroscopic management of chondral lesions in the hip is a challenge. Although multiple techniques have been described for the management of chondral lesions in the hip, hip-specific indications have not been fully elucidated. This video demonstrates an arthroscopic technique for the management of focal, full-thickness chondral lesions in the hip that involves microfracture augmented with micronized cartilage allograft. Operating room setup, patient positioning, and portal sites are discussed. In addition, preparation of the cartilage allograft with platelet-rich plasma on the back table is highlighted. Technical pearls, including hand positioning, camera angle, and intra-articular preparation for the graft are discussed. Postoperative protocols and short-term outcomes from a small case series are presented.