PT  - JOURNAL ARTICLE
AU  - Renshaw, Andrew
AU  - Duru, Nneoma
AU  - Assid, Eric
AU  - Williams, Gerard K.
AU  - Suri, Misty
AU  - Jones, Deryk
TI  - Novel Allograft in the Load-Bearing Portion of the Femoral Head
AID  - 10.31486/toj.23.0066
DP  - 2024 Mar 20
TA  - Ochsner Journal
PG  - 67--73
VI  - 24
IP  - 1
4099  - http://www.ochsnerjournal.org/content/24/1/67.short
4100  - http://www.ochsnerjournal.org/content/24/1/67.full
SO  - Ochsner J2024 Mar 20; 24
AB  - Background: An osteochondral defect in the hip can be a painful and limiting pathologic process. The damaged joint may progress into premature osteoarthritis, further limiting a patient's functionality.Case Report: A 24-year-old male presented to the clinic with left hip pain. The patient had been involved in a motor vehicle accident 3 years prior to presentation to our clinic. His injury from the high-speed accident required intramedullary rod fixation for a right-sided (contralateral) subtrochanteric femur fracture. The patient complained of left groin pain when in a sitting position, with activities of daily living, and with exercise. He failed conservative management consisting of nonsteroidal anti-inflammatory drugs and physical therapy. Imaging on presentation demonstrated an osteochondral defect in the weight-bearing portion of the left femoral head consistent with an International Cartilage Repair Society grade 4b lesion, a cam lesion was noted on assessment of bone morphology, and magnetic resonance imaging revealed degenerative labral pathology. The patient was treated with surgical hip dislocation through a modified Hardinge approach, femoral head osteochondral allograft transplantation using a Missouri Osteochondral Preservation System (MOPS) graft, acetabuloplasty, femoral neck osteoplasty, and open labral repair.Conclusion: Femoral head osteochondral MOPS allograft transplantation is a viable technique for joint preservation in young patients with posttraumatic osteochondral defects of the femoral head.