ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Promising outcomes of hip mosaicplasty by minimally invasive anterior approach using osteochondral autografts from the ipsilateral femoral head.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 34 citations in OpenAlex.
- Positive predictors of hip mosaicplasty outcomes: a systematic review and meta-analysis with knee comparison.Annals of joint · 2026Article
- Hip Arthroscopy and Chondrofiller Application in Isolated Osteochondral Defect of the Femoral Head.Journal of orthopaedic case reports · 2025Article
- Femoral head impaction fracture: a new technique for closed reduction and biological stabilisation.BMJ case reports · 2025Article
- Current understanding of articular cartilage lesions in femoroacetabular impingement syndrome.Journal of orthopaedic surgery and research · 2024Review
- Management of chondral and osteochondral lesions of the hip : A comprehensive review.Orthopadie (Heidelberg, Germany) · 2024Review
- Mosaicplasty of the Femoral Head: A Systematic Review and Meta-Analysis of the Current Literature.Cureus · 2022Review
- An evidence-based update on the management of articular cartilage defects in the hip.Journal of clinical orthopaedics and trauma · 2022Review
- Unusual apical femoral head deformity treated by hip arthroscopy and tunnel drilling through femoral head: a case report.Journal of hip preservation surgery · 2021Article
- Bilateral femoral head reshaping and mosaicplasty in Legg-Calvé-Perthes disease residual deformity.Journal of hip preservation surgery · 2021Article
- Current hip cartilage regeneration/repair modalities: a scoping review of biologics and surgery.International orthopaedics · 2021Article
- Article
- Teamwork in hip preservation: the ISHA 2019 Annual Scientific Meeting.Journal of hip preservation surgery · 2020Article
- Osteochondral Allograft Implantation Using the Smith-Peterson (Anterior) Approach for Chondral Lesions of the Femoral Head.Arthroscopy techniques · 2020Article
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecent studies demonstrated promising results of mosaicplasty for femoral head osteochondral lesions using posterior and lateral approaches. This study aimed to evaluate outcomes of mosaicplasty using ipsilateral femoral head autografts by minimally invasive anterior approach. The hypothesis was that this surgical technique would grant satisfactory clinical outcomes with considerable improvement of clinical scores.
methodsA consecutive series of 27 mosaicplasties, to treat osteochondral lesions of the femoral head measuring 1.6 ± 0.7 cm
resultsThree patients were excluded due to concomitant periacetabular osteotomies or shelf procedures, one patient could not be reached, and another was revised to THA. This left 22 patients for clinical assessment at 39.4 ± 23.2 months (12.0-90.2). Their mHHS improved from 56.3 ± 12.6 to 88.4 ± 9.9, and WOMAC improved from 45.1 ± 16.9 to 80.6 ± 13.0. Two patients (8.4%) underwent arthroscopy at 13 and 30 months to remove painful residual cam-type deformities. Regression analyses revealed that net improvement in WOMAC decreased with lesion size (p = 0.002) and increased with follow-up (p = 0.004).
conclusionsHip mosaicplasty using autografts from the ipsilateral femoral head, performed by minimally invasive anterior approach, granted satisfactory outcomes and functional improvements. Caution is, however, advised for lesions > 2 cm LEVEL OF EVIDENCE: Level IV, Case series.
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