Arthroscopic Management of Osteochondral Defects of the Hip

Osteochondral defects in the hip can present as acute injuries or degenerative injuries. These injuries usually occur with other intra-articular injuries of the hip including loose bodies, labral tears, dysplasia, instability, impingement, dislocation, or osteonecrosis. Several arthroscopic treatment options are available. The most common treatment used by these authors is microfracture. Also a peripheral rim trimming can often be used to reduce the size of the defect. For larger lesions, mosaicplasty has been used. Postoperative management is key for the success of these procedures. Although long-term studies have not been performed on these procedures in the hip, early results are promising.