Andrea Fontana1. 1. Orthopaedic Unit, COF Lanzo Hospital, Ramponio Verna (CO), Italy.
Abstract
BACKGROUND: Acetabular chondral defect are very frequently associated to FAI. Treatment options are still questionable. METHODS: Between 2008 and 2014, 201 patients over 583 have been arthroscopically treated with the AMIC procedure for grade III and/or IV acetabular chondral lesions. Patients age was between 18 and 50 years; acetabular chondral lesion size was between 2 and 4 cm2; radiological Tönnis degree of osteoarthritis was ≤ 2. RESULTS: The mean follow up of the entire group of 201 patients was 5 years (from 8 to 2). Significant improvement, as measured by the mHHS, was observed at 6 months in comparison to preoperative levels (80.3 ± 8.3) (p<0.001). Continuous improvement with respect to each previous evaluation time point was seen, reaching the highest improvement level at the three year follow-up (85.5 ± 7.2). The mean mHHS improvement recorded at the five year follow-up compared with preoperative scores was 39.1 ± 5.9. CONCLUSIONS: AMIC is a valid procedure to repair medium-sized chondral defects on the acetabular side of the hip found during treatment of FAI and lead to long-term favourable outcomes. LEVEL OF EVIDENCE: IV.
BACKGROUND:Acetabular chondral defect are very frequently associated to FAI. Treatment options are still questionable. METHODS: Between 2008 and 2014, 201 patients over 583 have been arthroscopically treated with the AMIC procedure for grade III and/or IV acetabular chondral lesions. Patients age was between 18 and 50 years; acetabular chondral lesion size was between 2 and 4 cm2; radiological Tönnis degree of osteoarthritis was ≤ 2. RESULTS: The mean follow up of the entire group of 201 patients was 5 years (from 8 to 2). Significant improvement, as measured by the mHHS, was observed at 6 months in comparison to preoperative levels (80.3 ± 8.3) (p<0.001). Continuous improvement with respect to each previous evaluation time point was seen, reaching the highest improvement level at the three year follow-up (85.5 ± 7.2). The mean mHHS improvement recorded at the five year follow-up compared with preoperative scores was 39.1 ± 5.9. CONCLUSIONS:AMIC is a valid procedure to repair medium-sized chondral defects on the acetabular side of the hip found during treatment of FAI and lead to long-term favourable outcomes. LEVEL OF EVIDENCE: IV.
Entities:
Keywords:
AMIC (Autologous Membrane Induced Chondrogenesis); FAI (Femoro Acetabular Impingemet); hip arthroscopy; hip chondral defects
Authors: Kevin Crawford; Marc J Philippon; Jon K Sekiya; William G Rodkey; J Richard Steadman Journal: Clin Sports Med Date: 2006-04 Impact factor: 2.182