Arthroscopic Treatment of Hip Chondral Defects: Autologous Chondrocyte Transplantation Versus Simple Debridement-A Pilot Study

作者：Fontana Andrea; Bistolfi Alessandro^*; Crova Maurizio; Rosso Federica; Massazza Giuseppe

来源：Arthroscopy-The Journal of Arthroscopic and Related Surgery, 2012, 28(3): 322-329.

DOI：10.1016/j.arthro.2011.08.304

Purpose: To compare the effectiveness of simple arthroscopic debridement versus arthroscopic autologous chondrocyte transplantation (ACT) for the treatment of hip chondral lesions. Methods: We carried out a controlled retrospective study of 30 patients affected by a post-traumatic hip chondropathy of the third or fourth degree, according to the Outerbridge classification, measuring 2 cm(2) in area or more. Of these patients, 15 underwent arthroscopic ACT, whereas the other 15 underwent arthroscopic debridement. The 2 groups were similar in age, sex, degree, and location of the pathology. All the patients were assessed before and after the procedure with the Harris Hip Score (HHS). Results: In both groups the mean follow-up was approximately 74 months (range, 72 to 76 months). The mean size of the defect was 2.6 cm(2). The patients who underwent ACT (group A) improved after the procedure compared with the group that underwent debridement alone (group B). The mean HHS preoperatively was 48.3 (95% confidence interval [CI], 45.4 to 51.2) in group A and 46 (95% CI, 42.7 to 49.3) in group B (P = .428 [no significant difference]). The final HHS was 87.4 (95% CI, 84.3 to 90.5) in group A and 56.3 (95% CI, 54.4 to 58.7) in group B (P = .001 [significant difference]). Conclusions: This study indicates that an ACT procedure can be used in the hip for acetabular chondral defects. Level of Evidence: Level III, retrospective comparative study.

• 出版日期2012-3