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Reverse Microfracture for Acetabular Wave Signs: Clinical and MRI Outcomes at Minimum 2-Year Follow-up.

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Treatment of Hip Wave Lesion Using Reverse Microfracture: A Retrospective Clinical Study.

Leandro Calil De Lazari1, Celso Herminio Ferraz Picado2, Flavio Luis Garcia2

  • 1Serviço Residência de Ortopedia do Grupo São Lucas, Hospital Care, Ribeirão Preto, SP, Brasil.

Revista Brasileira De Ortopedia
|February 24, 2022
PubMed
Summary
This summary is machine-generated.

Reverse microfracture effectively treats hip wave lesions. This simple surgical method improved patient pain and function, with MRI showing healthy cartilage regrowth six months post-operation.

Keywords:
arthroplasty, replacement, hiparthroscopyfemoroacetabular impingementmicrofracture

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Area of Science:

  • Orthopedic Surgery
  • Regenerative Medicine

Background:

  • Acetabular labral tears and chondral defects, often termed 'wave lesions', can cause hip pain and dysfunction.
  • Current treatment options for wave lesions have limitations, necessitating exploration of simpler, cost-effective alternatives.

Purpose of the Study:

  • To evaluate the efficacy of reverse microfracture as a treatment for acetabular wave lesions.
  • To assess the functional outcomes and imaging results following reverse microfracture surgery.

Main Methods:

  • Retrospective analysis of 19 patients with acetabular wave lesions treated with reverse microfracture.
  • Preoperative and postoperative assessment using Magnetic Nuclear Resonance Imaging (MRI), Harris Hip Score (HHS), and Visual Analogue Scale (VAS) for pain.

Main Results:

  • Significant improvements in HHS and VAS scores were observed at six months post-surgery.
  • MRI at six months demonstrated cartilage in the treated area with visual characteristics similar to healthy cartilage.
  • Reverse microfracture showed promising results in cartilage regeneration and functional recovery.

Conclusions:

  • Reverse microfracture is an effective and reproducible surgical technique for treating hip wave lesions.
  • The procedure offers a simple and cost-effective approach to cartilage repair in the hip.
  • Further research may validate reverse microfracture as a standard treatment for acetabular wave lesions.