Osteochondral Allograft Implantation Using the Smith-Peterson (Anterior) Approach for Chondral Lesions of the Femoral Head

Osteochondral Allograft Implantation Using the Smith-Peterson (Anterior) Approach for Chondral Lesions of the Femoral Head

Authors: Chen JW, Rosinsky PJ, Shapira J, Maldonado DR, Kyin C, Lall AC, Domb BG
DOI: 10.1016/j.eats.2019.10.003

Background

Large chondral lesions of the femoral head pose a therapeutic challenge. This study describes an osteochondral allograft implantation technique using the Smith-Peterson anterior approach, avoiding trochanteric osteotomy.

Methods

The procedure utilizes a femoral head allograft implanted via the anterior approach to restore cartilage in large femoral head defects, minimizing invasiveness compared to traditional methods.

Key Findings

• The technique successfully treats large femoral head chondral lesions.
• Avoids complications related to trochanteric osteotomy.
• Provides effective cartilage restoration essential for hip joint function.

Conclusions

Smith-Peterson approach for femoral head osteochondral allograft implantation offers a less invasive, effective alternative for treating large chondral lesions without the need for more morbid surgical exposures.

What Does This Mean for Providers?

This technique allows surgeons to address sizable femoral head cartilage defects with reduced surgical morbidity by avoiding trochanteric osteotomy. Providers should consider the anterior approach for osteochondral allograft implantation to optimize outcomes while minimizing complications in appropriate patients.