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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 144-149
DOI: 10.1055/s-0040-1722259
Artigos Originais
Quadril

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

Article in several languages: português | English
Leandro Calil De Lazari 
1   Serviço Residência de Ortopedia do Grupo São Lucas, Hospital Care, Ribeirão Preto, SP, Brasil
,
Celso Herminio Ferraz Picado 
2   Grupo do Quadril, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP – USP), Ribeirão Preto, SP, Brasil
,
Flavio Luis Garcia 
2   Grupo do Quadril, Hospital das Clínicas, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo (FMRP – USP), Ribeirão Preto, SP, Brasil
,
Fernando Jorge Garcia 
3   Hospital Estadual de Sumaré, Universidade de Campinas (Unicamp), Campinas, SP, Brasil
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Abstract

Objective The present study aims to evaluate the treatment of hip wave lesion using reverse microfracture, which is a simple and cheap surgical procedure.

Methods We retrospectively analyzed 19 patients with acetabular wave lesion treated with reverse microfracture. The patients were assessed by magnetic nuclear resonance imaging (MRI) at the time of diagnosis and 6 months after the surgery and functionally evaluated using the Harris Hip Score (HHS) and the visual analogue scale (VAS) for pain in the preoperative period, and 3 and 6 months after the surgery.

Results The statistical data showed a significant improvement in HHS and VAS 6 months after the surgery. Six months after the surgery, the MRI revealed that the area subjected to reverse microfracture presented cartilage with the same visual characteristics observed in areas with no chondral injury.

Conclusion We conclude that the reverse microfracture proved to be an effective, reproducible method for the treatment of wave lesion.

Keywords

arthroplasty, replacement, hip - arthroscopy - microfracture - femoroacetabular impingement

Financial Support

There was no financial support from public, commercial, or not-for-profit sources.


Study developed at Grupo São Lucas, Hospital Care, Ribeirão Preto, São Paulo, Brazil.




Publication History

Received: 09 April 2020

Accepted: 02 October 2020

Article published online:
19 April 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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