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The Evidence for the Treatment of Cartilage Injuries in FAI Surgery

A Summary of Techniques and Outcomes of Cartilage Injury Management

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Diagnosis and Management of Femoroacetabular Impingement

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Abstract

Lesions in the hip joint are a bit different from lesions at other sites. No matter if the lesions are the result of direct trauma or indirectly developed, the local cartilage treatment alternatives are the same. Transarthroscopic approaches are preferred because of reduced morbidity and the treatment algorithms are generally the same as in other joints, simple bone marrow-based techniques for small defects, while more complex methods like allografting and autologous chondrocyte implantation (ACI) are preserved for larger defects. However, in the hip joints successful refixation of chondral flaps has been described, a technique not advised in other joints. To date, no large prospective cartilage repair series exists and no randomized studies addressing this have been performed. This chapter will give a summary of current techniques and outcomes of cartilage injury management of the hip joint.

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Authors and Affiliations

  1. Cartilage Research Unit, University of Gothenburg, Region Halland Orthopaedics, Kungsbacka Hospital, Kungsbacka, S-434 80, Sweden

    Mats Brittberg

  2. ICATME, Hospital Universitari Dexeus, C/ Sabino de Arana 19, Barcelona, Spain

    Marc Tey

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  1. Mats Brittberg
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  2. Marc Tey
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Correspondence to Mats Brittberg .

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Editors and Affiliations

  1. McMaster University, Hamilton, Ontario, Canada

    Olufemi R. Ayeni

  2. Hosp, Academy University of Gothenburg, Dept. of Orthopaedics, Sahlgrenska Univ Hosp, Academy University of Gothenburg, Gothenburg, Sweden

    Jón Karlsson

  3. Steadman Clinic, Ste 1000, Steadman Philippon Research Inst Steadman Clinic, Ste 1000, Vail, Colorado, USA

    Marc J Philippon

  4. Stanford University Dept of Orthopaedic Surg, M/C 6342, Redwood City, California, USA

    Marc R. Safran

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Brittberg, M., Tey, M. (2017). The Evidence for the Treatment of Cartilage Injuries in FAI Surgery. In: Ayeni, O., Karlsson, J., Philippon, M., Safran, M. (eds) Diagnosis and Management of Femoroacetabular Impingement. Springer, Cham. https://doi.org/10.1007/978-3-319-32000-7_14

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  • DOI: https://doi.org/10.1007/978-3-319-32000-7_14

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