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
