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A systematic review of surgical methods to restore articular cartilage in the hip

Lookup NU author(s): will Hotham, Ajay MalviyaORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


© 2018 Author(s) et al. This systematic review examines the current literature regarding surgical techniques for restoring articular cartilage in the hip, from the older microfracture techniques involving perforation to the subchondral bone, to adaptations of this technique using nanofractures and scaffolds. This review discusses the autologous and allograft transfer systems and the autologous matrix-induced chondrogenesis (AMIc) technique, as well as a summary of the previously discussed techniques, which could become common practice for restoring articular cartilage, thus reducing the need for total hip arthroplasty. Using the British Medical Journal Grading of Recommendations, Assessment, Development and evaluation (BMJ GRADe) system and Grade system. comparison of the studies discussed shows that microfracture has the greatest quantity and quality of research, whereas the newer AMIc technique requires more research, but shows promise.

Publication metadata

Author(s): Hotham WE, Malviya A

Publication type: Review

Publication status: Published

Journal: Bone and Joint Research

Year: 2018

Volume: 7

Issue: 5

Pages: 336-342

Online publication date: 14/05/2018

Acceptance date: 02/04/2018

ISSN (electronic): 2046-3758

Publisher: British Editorial Society of Bone and Joint Surgery


DOI: 10.1302/2046-3758.75.BJR-2017-0331