Arthroscopic Retrograde Osteochondral Autologous Transplantation to Chondral Lesion in Femoral Head

Full article available online at Healio.com/Orthopedics This report describes the treatment of 2 cases of full-thickness cartilage defect of the femoral head. The authors performed osteochondral autologous transplantation with a different technique that has not been reported to date. One patient was 37 years old, and the other was 42 years old. Both presented with hip pain. In both patients, radiograph and magnetic resonance imaging scan showed a focal chondral defect on the weight-bearing area of the femoral head and acetabular impingement. A retrograde osteochondral autologous transplantation technique combined with hip arthroscopy and arthroscopic impingement treatment was performed. After a 2-month recovery period, the symptoms were resolved. In the first year of follow-up, Harris Hip scores improved significantly (case 1, 56.6 to 87.6; case 2, 58.6 to 90). The technique described yielded good shortand midterm clinical and radiologic outcomes. To the authors’ knowledge, this report is the first to describe a retrograde osteochondral transplantation technique performed with hip arthroscopy in the femoral head. The authors are from the Orthopaedics and Sports Medicine Center, Acibadem Fulya Hospital, Istanbul, Turkey. The authors have no relevant financial relationships to disclose. Correspondence should be addressed to: Berkin Toker, MD, Orthopaedics and Sports Medicine Center, Acibadem Fulya Hospital, Hakki Yeten St, Yesilcimen No:23 Fulya, Istanbul, Turkey (mberkintoker@ hotmail.com). Received: September 5, 2012; Accepted: December 3, 2013; Posted: June 11, 2014. doi: 10.3928/01477447-20140528-64 Arthroscopic Retrograde Osteochondral Autologous Transplantation to Chondral Lesion in Femoral Head Sarper Cetinkaya, MD; Berkin toker, MD; oMer taSer, MD Figure: Preoperative anteroposterior radiograph of Patient 1. The arrow indicates the chondral defect.