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Hip chondral lesions have consistently predicted arthroplasty following arthroscopy. Microfracture in isolation has waned in attractiveness and use in both the hip and knee, given similar results to debridement alone and the addition of intraoperative time and potential postoperative complications such as subchondral fracture and intralesional osteophyte formation. We recommend debridement for small\u2010to\u2010moderate (&lt;6 cm\n                    <jats:sup>2<\/jats:sup>\n                    ) full\u2010thickness chondral defects. However, the poor prognosis for grade III to IV defects highlights the need for novel treatment options. One such approach is \u201cbiologically enhanced\u201d microfracture in conjunction with (autologous) platelet\u2010rich plasma, micronized allograft extracellular cartilage matrix, and fibrin glue. This certainly satisfies our biologic mantra of \u201ccells, signal, and scaffold,\u201d providing the influx of marrow\u2010based stromal cells, platelet\u2010rich plasma, and matrix\u2010associated growth factors, and fibrin\u2010sealed defect fill.\n                  <\/jats:p>","DOI":"10.1016\/j.arthro.2022.06.007","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T02:59:57Z","timestamp":1664506797000},"page":"2827-2828","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":2,"title":["<i>Editorial Commentary:<\/i>\n                    Hip Chondral Defect Treatment Requires Cells, Signal, and Scaffold: The Chef Is In the Kitchen"],"prefix":"10.1002","volume":"38","author":[{"given":"Mario","family":"Hevesi","sequence":"first","affiliation":[{"name":"Midwest Orthopedics at Rush"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Chahla","sequence":"additional","affiliation":[{"name":"Midwest Orthopedics at Rush"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,1]]},"reference":[{"key":"e_1_2_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.02.039"},{"key":"e_1_2_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2016.09.004"},{"key":"e_1_2_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546517734180"},{"key":"e_1_2_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520973977"},{"key":"e_1_2_2_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546520902736"},{"key":"e_1_2_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2007.02.002"},{"key":"e_1_2_2_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-020-04789-2"},{"key":"e_1_2_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.11.048"},{"key":"e_1_2_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546521993829"},{"key":"e_1_2_2_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-017-5437-z"},{"key":"e_1_2_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/03635465211068109"},{"key":"e_1_2_2_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546519845346"},{"key":"e_1_2_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.06.009"},{"key":"e_1_2_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2022.02.021"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322003474?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0749806322003474?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.06.007","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.arthro.2022.06.007","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.arthro.2022.06.007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T09:16:47Z","timestamp":1773566207000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.arthro.2022.06.007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1016\/j.arthro.2022.06.007"],"URL":"https:\/\/doi.org\/10.1016\/j.arthro.2022.06.007","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Editorial Commentary: Hip Chondral Defect Treatment Requires Cells, Signal, and Scaffold: The Chef Is In the Kitchen","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy: The Journal of Arthroscopic & Related Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.arthro.2022.06.007","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by the Arthroscopy Association of North America","name":"copyright","label":"Copyright"}]}}