A Critical Review: Management and Surgical Options for Articular Defects in the Hip

Abstract

Patients with articular cartilage lesions of the hip may present with pain and symptoms that may be vague in nature and onset. Therefore, a thorough history and physical examination should be performed for every patient presenting with hip pain and/or disability. The management may be operative or nonoperative. Nonoperative management includes a trial of rest and/or activity modification, along with anti-inflammatory medications, physical therapy, and biologic injections. Operative treatment in the form of arthroscopic techniques continues to decrease morbidity and offer innovative solutions and new applications for microfracture, ACT, and AMIC.

Keywords: Autologous chondrocyte transplantation; Chondral injury; Mosaicplasty; Osteochondral allograft transplantation; Osteochondral autologous transplantation; Viscosupplementation.