Hip Cartilage Procedures

What Is Hip Cartilage?

Cartilage is the smooth, rubbery tissue that covers the ends of bones in your joints. In the hip, this cartilage allows the femoral head (thighbone) to glide smoothly within the acetabulum (hip socket). When this tissue becomes damaged through injury, overuse, or wear and tear, it can lead to pain and joint dysfunction.

Causes of Hip Cartilage Damage

Hip cartilage injuries can result from:

• Sports injuries or trauma

• Femoroacetabular impingement (FAI)

• Hip dysplasia

• Repetitive stress or overuse

• Labral tears

• Osteochondritis dissecans

• Natural aging and degeneration

Common Hip Cartilage Procedures

Depending on the extent of the damage, several procedures may be used to restore or regenerate cartilage:

1. Debridement and Chondroplasty

• What it is: Remove loose or frayed cartilage to smooth the joint surface.

• Ideal for: Small areas of damage; often performed during hip arthroscopy.

2. Microfracture

• What it is: Small holes are made in the bone beneath the cartilage defect to stimulate the growth of new cartilage.

• Ideal for: Younger patients with isolated defects.

3. Autologous Chondrocyte Implantation (ACI)

• What it is: A two-stage procedure where cartilage cells are harvested, grown in a lab, and re-implanted into the damaged area.

• Ideal for: Larger defects in active individuals.

4. Osteochondral Autograft/Allograft Transplantation (OATS)

• What it is: Healthy cartilage and underlying bone are transplanted to the damaged area from your joint (autograft) or a donor (allograft).

• Ideal for: Larger lesions or previous failed treatments.

5. Biologic Therapies (PRP or Stem Cells)

• What it is: Injection of regenerative cells to reduce inflammation and promote healing.

• Ideal for: Mild to moderate cartilage damage; often used alongside other procedures.

Signs You May Need Cartilage Treatment

You may be a candidate for a hip cartilage procedure if you experience:

• Hip pain during activity or rest

• Clicking, catching, or grinding in the joint

• Decreased range of motion

• Stiffness in the hip

• Previous injury with lingering symptoms

What to Expect: Surgery & Recovery

Most hip cartilage procedures are performed arthroscopically or through minimally invasive techniques. Recovery varies based on the procedure:

• Weight-bearing restrictions may last from a few days to several weeks

• Physical therapy is essential to restore strength and mobility

• Return to sports may take 3–6 months, depending on the procedure and healing progress

Our team provides a customized recovery plan to support optimal healing and function.

Benefits of Hip Cartilage Restoration

• Preserves your natural joints

• Reduces pain and inflammation

• Improves mobility and function

• Delays or prevents total hip replacement

• Supports an active lifestyle

Is Cartilage Repair Right for You?

Orthoapaedic Associates of Wisconsin’s orthopedic surgeons specialize in hip preservation and cartilage restoration techniques. Early evaluation and intervention are key to preventing further damage and preserving joint health.