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International Orthopaedics
Published in: International Orthopaedics 10/2018

Open Access 01-10-2018 | Review Article

Outcomes of cartilage repair techniques for chondral injury in the hip—a systematic review

Authors: Naoki Nakano, Chetan Gohal, Andrew Duong, Olufemi R. Ayeni, Vikas Khanduja

Published in: International Orthopaedics | Issue 10/2018

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Abstract

Objective/purpose

The aim of the study was to assess the options of treatment and their related outcomes for chondral injuries in the hip based on the available evidence whilst highlighting new and innovative techniques.

Methods

A systematic review of the literature from PubMed (Medline), EMBASE, Google Scholar, British Nursing Index (BNI), Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Allied and Complementary Medicine Database (AMED) was undertaken from their inception to March 2017 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Clinical outcome studies, prospective/retrospective case series and case reports that described the outcome of cartilage repair technique for the chondral injury in the hip were included. Studies on total hip replacement, animal studies, basic studies, trial protocols and review articles were excluded.

Results

The systematic review found 21 relevant papers with 596 hips. Over 80% of the included studies were published in or after 2010. Most studies were case series or case reports (18 studies, 85.7%). Arthroscopy was used in 11 studies (52.4%). The minimum follow-up period was six months. Mean age of the participants was 37.2 years; 93.5% of patients had cartilage injuries of the acetabulum and 6.5% of them had injuries of the femoral head. Amongst the 11 techniques described in the systematic review, autologous matrix-induced chondrogenesis, osteochondral autograft transplantation and microfracture were the three frequently reported techniques.

Conclusion

Over ten different techniques are available for cartilage repair in the hip, and most of them have good short- to medium-term outcomes. However, there are no robust comparative studies to assess superiority of one technique over another, and further research is required in this arena.
Appendix
Available only for authorised users
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Metadata
Title
Outcomes of cartilage repair techniques for chondral injury in the hip—a systematic review
Authors
Naoki Nakano
Chetan Gohal
Andrew Duong
Olufemi R. Ayeni
Vikas Khanduja
Publication date
01-10-2018
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 10/2018
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-018-3862-6

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