Microfracture in the Hip: A Matched-Control Study with Average 3-Year Follow-up
Authors: Lodhia P, Gui C, Chandrasekaran S, et al.
DOI: 10.1093/jhps/hnv073
Purpose
Compare clinical outcomes of patients undergoing microfracture during hip arthroscopy for full-thickness chondral defects versus matched controls without such lesions.
Methods
Prospective matched-control design with 35 microfracture patients and 70 controls; minimum 2-year follow-up.
Key Findings
- Both groups demonstrated significant improvement in patient-reported outcomes postoperatively.
- Controls reported better function in daily living activities and experienced less pain compared to microfracture group.
- Patient satisfaction was marginally lower in the microfracture cohort but without statistical significance.
What Does This Mean for Providers?
- Microfracture is a reasonable adjunct for full-thickness chondral lesions during hip arthroscopy, offering functional improvements comparable to patients without such lesions.
- Providers should set realistic expectations regarding postoperative pain and slight functional limitations following microfracture.
- Close monitoring and rehabilitation tailored to microfracture patients may optimize outcomes.