Joint-preserving surgery in the young adult hip continues to evolve, with growing interest in techniques that restore joint biology and mechanics rather than simply treating symptoms. This session will examine current and emerging approaches to osteochondral defects, labral pathology and articular cartilage injury.
Callum McBryde will discuss osteochondral autograft transfer in the hip, including indications, patient selection, technical considerations and its place within the cartilage-repair pathway. Tony Andrade will address labral reconstruction and autograft techniques when primary repair is not possible, with emphasis on restoring the labral suction seal and selecting an appropriate reconstruction strategy.
Minced cartilage repair will then be considered from complementary laboratory and clinical perspectives. Ben Woodhouse will present an in-vitro overview of the biological promise of minced cartilage repair, including chondrocyte viability, matrix production and factors that may influence construct performance. Rajpal Nandra will discuss the clinical application of minced cartilage and AutoCart in focal cartilage defects.
The session will conclude with a panel discussion comparing the indications, advantages and limitations of these techniques. Delegates will gain a practical overview of the current evidence, technical considerations and unanswered questions shaping regenerative and preservative surgery in the young adult hip.
Chair: Professors Karina Wright and Professor Geraint Thomas
Agenda:
16:20 - 16:25 Professor Karina Wright and Professor Geraint Thomas
Welcome and session introduction
16:25 - 16:40 Callum McBryde
Osteochondral Autograft Transfer in the Young Adult Hip: Indications, Technique and Outcomes
16:40 - 16:55 Tony Andrade
Sealing the deal: Reconstructing the acetabular labrum in 2026
16:55 - 17:10 Ben Woodhouse
The Promise of Minced Cartilage Repair in the Hip: An In-Vitro Perspective
17:10 - 17:25 Rajpal Nandra
Potholes are not Restricted to Roads: Clinical Experience with Minced Cartilage Repair in the Hip
17:25 - 17:50 Q&A and panel discussion
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Professor Karina Wright
Professor of Orthopaedics and Bioengineering, Keele University/RJAH Orthopaedic Hospital (Oswestry)
Professor in Orthopaedics and Tissue Engineering at Keele University, based within The Robert Jones and Agnes Hunt Orthopaedic Hospital. She is Director of Keele University’s Centre for Regenerative Medicine Research and leads translational research focused on developing and evaluating biological therapies for orthopaedic patients. Her work spans in vitro models, pre-clinical studies, clinical trials and reverse translational research using human cells and tissues to better understand treatment response and improve patient outcomes.
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Professor Geraint Thomas
Consultant Orthopaedic Surgeon / Professor, The Robert Jones and Agnes Hunt Orthopaedic Hospital / Keele University
Consultant Orthopaedic Surgeon at The Robert Jones and Agnes Hunt Orthopaedic Hospital and affiliated with Keele University. His clinical and research interests focus on young adult hip disease, including hip preservation surgery, hip arthroscopy, periacetabular osteotomy, hip arthroplasty, hip arthritis and orthopaedic epidemiology. His work bridges clinical hip surgery with research aimed at improving outcomes for patients with hip pathology.
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Callum W McBryde
Consultant Orthopaedic Surgeon, The Royal Orthopaedic Hospital NHS Trust
Consultant Orthopaedic Surgeon at The Royal Orthopaedic Hospital NHS Trust, specialising exclusively in young adult hip surgery. His practice focuses on the assessment and treatment of hip and groin pain, including hip preservation surgery, hip arthroscopy, femoral and acetabular osteotomy, hip resurfacing, total hip replacement and revision hip replacement. He has developed a clinical and research interest in improving outcomes for young and active patients with hip pathology.
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Antonio J (Tony) Andrade
Consultant Orthopaedic Hip and Knee Surgeon, The Royal Berkshire NHS Foundation
Consultant Orthopaedic Hip and Knee Surgeon with a specialist focus on young adult hip pathology, hip preservation and arthroscopic hip surgery. His practice includes the assessment and treatment of hip and groin pain, femoroacetabular impingement, labral pathology, lower limb malrotation, hip preservation procedures, hip replacement and revision surgery. He has played a leading role in developing hip arthroscopy and labral reconstruction techniques in the UK, alongside training and mentoring other surgeons in hip preservation surgery.
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Rajpal S Nandra
Consultant Orthopaedic Surgeon, The Robert Jones and Agnes Hunt Orthopaedic Hospital
Consultant Orthopaedic Surgeon at The Robert Jones and Agnes Hunt Orthopaedic Hospital, specialising in hip preservation, hip arthroscopy and complex hip reconstruction. His practice focuses on the assessment and treatment of hip and groin pain, including sports-related hip injuries, femoroacetabular impingement, labral pathology, hip dysplasia, arthritis and failed hip replacements. He has a particular interest in preserving the native hip joint through arthroscopic and reconstructive procedures, with the aim of delaying or avoiding progression to end-stage arthritis and joint replacement.
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Ben Woodhouse
PhD Student, Keele University / The Robert Jones and Agnes Hunt Orthopaedic Hospital
PhD student at Keele University and The Robert Jones and Agnes Hunt Orthopaedic Hospital, investigating regenerative approaches for hip cartilage repair. His research focuses on the biological characterisation and clinical utility of cam deformity cartilage in femoroacetabular impingement, with an emphasis on autologous cell-based therapies, minced cartilage techniques and optimisation of delivery systems for hip preservation surgery. His work aims to bridge basic science, translational regenerative medicine and clinical application to improve treatment strategies for young patients with chondral pathology.
