Clinical Research Directory

Mapping Joint Damage Patterns in Femoroacetabular Impingement

The goal of this observational study is to document clinical outcomes after primary hip arthroscopy in patients with femoroacetabular impingement, describe the pathology zone distribution and detect whether the pathology site impact the outcomes. The main questions it aims to answer are: * Does hip-related quality of life improve from before surgery to 12 months after surgery? * Where inside the hip joint (front, mixed, or back) does cartilage and labral damage most commonly occur in patients undergoing arthroscopy for FAI? * Do pain and quality-of-life outcomes at 12 months differ between patients based on the hip damage region? Participants will * Complete questionnaires about hip pain and function (iHOT-12, a pain scale, and a quality-of-life questionnaire) before surgery * Undergo standard hip arthroscopy, during which the surgeon will record the exact location and grade of any joint damage found * Complete the same questionnaires again 12 months after surgery

Comparison of Minced Cartilage Implantation Versus Microfracture for Acetabular Chondral Lesions Due to FAI (Femoro-acetabular Impingement)

A femoroacetabular impingement (FAI) is an abnormal contact between pelvis and the neck of femur. It occurs particularly when patient bends his hip and causes damage to the cartilage. In the long term, FAI can lead to the development of osteoarthritis (cartilage destruction) and may require a total hip replacement (THR). Surgery to treat cartilage damage in the hip aims to maintain joint function and delay the onset of osteoarthritis. Microfracture remains the most commonly used treatment for cartilage lesions. It is a surgical technique for repairing articular cartilage that works by creating tiny fractures in the bone, which in turn stimulate the growth of new cartilage. Cartilage autografting is a promising alternative to microfracture, offering good results in the knee joint. Cartilage autografting involves the use of autologous cartilage tissue (taken from patient body), which is harvested, ground up and reimplanted in a single surgical procedure to promote the growth of new cartilage and repair. The published literature lacks large-scale studies comparing autologous cartilage transplantation with traditional joint-preserving surgeries, such as microfracture. This is the reason why this study is set up.