There has been an extensive and full thickness chondral injury. It initially causes a limitation of hip mobility, especially of flexion and rotations, which ends up limiting daily activities such as wearing shoes or sitting on low chairs. The pain, usually inguinal, may also be in the buttock or in the lateral area of the hip, and it is often irradiated to the knee, sometimes being knee pain the predominant symptom.
Once conservative treatment has failed, surgical treatment is mandatory through the implantation of a total hip prosthesis. In Traumavist we use only model prosthesis with optimal geometry and the widest range of sizes, that provide the surgeon to restore the patient’s biomechanics and natural range of motion.
In selected young patients, in whom we wish to delay prosthetic surgery to the maximum, we carry out pioneering treatments through intra-articular injection of platelet growth factors (PRP), stem cells, hyaluronic acid and collagen, to control and decrease the patient's painful symptomatology.