Promising outcomes of hip mosaicplasty by minimally invasive anterior approach using osteochondral autografts from the ipsilateral femoral head

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Maria-Roxana Viamont-GuerraFrédéric Laude

Abstract

Recent studies demonstrated promising results of mosaicplasty for femoral head osteochondral lesions using posterior and lateral approaches. This study aimed to evaluate outcomes of mosaicplasty using ipsilateral femoral head autografts by minimally invasive anterior approach. The hypothesis was that this surgical technique would grant satisfactory clinical outcomes with considerable improvement of clinical scores. A consecutive series of 27 mosaicplasties, to treat osteochondral lesions of the femoral head measuring 1.6 ± 0.7 cm2 (range 0.8-4.0) in patients aged 28.7 ± 7.4 years (range 19-44), was evaluated using the mHHS and WOMAC scores at minimum follow-up of 12 months. All patients were operated by minimally invasive anterior (Hueter) approach and osteochondral plugs were harvested from the non-weight-bearing portion of the femoral head. Adjuvant osteoplasty was necessary for some patients at the acetabulum (n = 3), femur (n = 14) or both (n = 2). Three patients were excluded due to concomitant periacetabular osteotomies or shelf procedures, one patient could not be reached, and another was revised to THA. This left 22 patients for clinical assessment at 39.4 ± 23.2 months (12.0-90.2). Their mHHS improved from 56.3 ± 12.6 ...Continue Reading

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Citations

Sep 11, 2020·International Orthopaedics·Mario HevesiAaron J Krych
Oct 20, 2020·Journal of Hip Preservation Surgery·Ajay C LallDamian R Griffin
Jun 29, 2021·Journal of Hip Preservation Surgery·Ángel Palazón-QuevedoRosa M Egea-Gámez
Sep 11, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jacques HernigouPhilippe Hernigou
Oct 13, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Surya N MundluruHenry Ellis

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