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Microfracture in Hip Arthroscopy. Keep It Simple!

Despite all the advances in hip arthroscopy, microfracture is still the workhorse for treating focal and full-thickness cartilage lesions. The success of this treatment is owed to its reliability and simplicity. Given the structure of the hip joint, however, there are challenges to this procedure us...

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Detalles Bibliográficos
Autores principales: Maldonado, David R., Chen, Jeffrey W., Lall, Ajay C., Kyin, Cynthia, Walker-Santiago, Rafael, Shapira, Jacob, Rosinsky, Philip J., Domb, Benjamin G.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6848960/
https://www.ncbi.nlm.nih.gov/pubmed/31737485
http://dx.doi.org/10.1016/j.eats.2019.05.020
Descripción
Sumario:Despite all the advances in hip arthroscopy, microfracture is still the workhorse for treating focal and full-thickness cartilage lesions. The success of this treatment is owed to its reliability and simplicity. Given the structure of the hip joint, however, there are challenges to this procedure using a conventional microfracture pick. This note presents our current and preferred microfracture technique using a curve drill guide and flexible drill. This method offers greater range of access to different regions of the joint with ease, thus ensuring a reproducible and quicker procedure with less risk.