Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair

Hip chondral defects often are encountered at the time of hip arthroscopy and can result in substantial pain and dysfunction. With the evolution of cell-based techniques, there is growing interest in single-stage, arthroscopic treatment of such chondral lesions. Arthroscopic orthobiologic delivery r...

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Main Authors: Mario Hevesi, M.D., Ph.D., Louis Kang, B.S., Aaron J. Krych, M.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001562
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author Mario Hevesi, M.D., Ph.D.
Louis Kang, B.S.
Aaron J. Krych, M.D.
author_facet Mario Hevesi, M.D., Ph.D.
Louis Kang, B.S.
Aaron J. Krych, M.D.
author_sort Mario Hevesi, M.D., Ph.D.
collection DOAJ
description Hip chondral defects often are encountered at the time of hip arthroscopy and can result in substantial pain and dysfunction. With the evolution of cell-based techniques, there is growing interest in single-stage, arthroscopic treatment of such chondral lesions. Arthroscopic orthobiologic delivery remains technically challenging, given the constrained and concave nature of the acetabulum and the need to perform instrumentation taking into account nearby structures such as the articular surface, hip capsule, and labrum. In this Technical Note, we describe our preferred method for arthroscopic delivery of orthobiologics at the time of single-stage cartilage repair, which allows for needle-based transcapsular, translabral access of hip chondral defects for both the acetabulum and femoral head.
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publishDate 2025-07-01
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series Arthroscopy Techniques
spelling doaj-art-1ef6a3e0a85441f19bf1e209c2c2a1e32025-08-20T04:00:27ZengElsevierArthroscopy Techniques2212-62872025-07-0114710358710.1016/j.eats.2025.103587Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage RepairMario Hevesi, M.D., Ph.D.0Louis Kang, B.S.1Aaron J. Krych, M.D.2Address correspondence to Mario Hevesi, M.D., Ph.D., Mayo Clinic, 200 First St. SW, Rochester, MN 55905, U.S.A.; Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota, U.S.A.Hip chondral defects often are encountered at the time of hip arthroscopy and can result in substantial pain and dysfunction. With the evolution of cell-based techniques, there is growing interest in single-stage, arthroscopic treatment of such chondral lesions. Arthroscopic orthobiologic delivery remains technically challenging, given the constrained and concave nature of the acetabulum and the need to perform instrumentation taking into account nearby structures such as the articular surface, hip capsule, and labrum. In this Technical Note, we describe our preferred method for arthroscopic delivery of orthobiologics at the time of single-stage cartilage repair, which allows for needle-based transcapsular, translabral access of hip chondral defects for both the acetabulum and femoral head.http://www.sciencedirect.com/science/article/pii/S2212628725001562
spellingShingle Mario Hevesi, M.D., Ph.D.
Louis Kang, B.S.
Aaron J. Krych, M.D.
Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair
Arthroscopy Techniques
title Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair
title_full Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair
title_fullStr Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair
title_full_unstemmed Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair
title_short Arthroscopic Hip Transcapsular, Translabral Delivery of Orthobiologics for Single-Stage Cartilage Repair
title_sort arthroscopic hip transcapsular translabral delivery of orthobiologics for single stage cartilage repair
url http://www.sciencedirect.com/science/article/pii/S2212628725001562
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