Uploaded November 2025 | Updated September 2026, 1 week ago
This video breaks down everything you need to know about CAM Delamination Lesion Treatment, focusing on how the AutoCart™ technique enables a reliable single‑stage biologic solution to restore cartilage and preserve the hip joint.
CAM delamination lesions are a common and challenging problem in patients with femoroacetabular impingement (FAI). Using real procedural footage and expert commentary from Dr. Ashish Batty, this educational walkthrough explains why these lesions occur, why they are historically difficult to treat, and how modern biologic technology is transforming hip preservation.
CAM delamination lesions often appear during hip arthroscopy for impingement. In early stages, surgeons may see only a subtle “wave sign”—a slight debonding of the acetabular cartilage. As FAI progresses, this can evolve into an unstable cartilage flap and ultimately full‑thickness grade‑4 cartilage loss exposing bone. These defects are poorly shouldered and difficult to fill, and conventional methods like microfracture are often limited due to poor access, angles, and the biology of the defect. Left untreated, these lesions can accelerate degenerative changes in the hip.
This is where the AutoCart™ hip procedure steps in. The AutoCart™ technique allows surgeons to repair the lesion in a single stage, using the patient’s own viable chondrocytes harvested during the same surgery. Dr. Batty explains that the delaminated cartilage flap itself may provide harvestable graft tissue—but even more reliably, the cartilage overlying the CAM lesion on the femoral side is an abundant source. Using a burr or shaver, healthy cartilage containing viable cells is collected into a GraftNet™ device, producing graft material with excellent biological potential.
This biologic cartilage is then mixed with BioCartilage® and ACP (autologous conditioned plasma), creating a slurry with the ideal blend of extracellular matrix, growth factors, and living chondrocytes. A 1:1 mixture of harvested cartilage and BioCartilage® is combined with a small amount of ACP to form a smooth, moldable graft capable of adhering to the prepared lesion.
One of the biggest challenges in acetabular cartilage work is drying the lesion adequately for biologic adhesion. AutoCart™ solves this with a specialized suction swab that fits through standard hip portals, making it possible to clear fluid and prepare the defect surface arthroscopically. Once dry, the mixture is delivered through a TUI needle with a paddle‑tip design that allows the surgeon to mold and contour the graft precisely into the defect—even in challenging acetabular angles common in FAI.
After filling the lesion, the surgeon applies a thin layer of thrombin‑based sealant to secure the graft in place. When traction is released, natural joint compression helps contour and stabilize the repair. Unlike two‑stage cartilage procedures, AutoCart™ does not require harvesting tissue during one surgery and implanting later. This streamlined method offers meaningful advantages for both patients and hip preservation specialists.
If you’re interested in modern biologic cartilage restoration, hip preservation, or advanced FAI treatment options, this video offers a high‑value look at how CAM Delamination Lesion Treatment is evolving.
👇 Helpful Arthrex Reference Links:
Hip Preservation Solutions: arthrex.com/hip
Learn more: arthrex.info/4i21S8g
👍 Like if you want more hip preservation techniques
💬 Comment your questions about CAM lesions or AutoCart™ biology
🔔 Subscribe for more cutting‑edge hip arthroscopy content
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
This video breaks down everything you need to know about CAM Delamination Lesion Treatment, focusing on how the AutoCart™ technique enables a reliable single‑stage biologic solution to restore cartilage and preserve the hip joint.
CAM delamination lesions are a common and challenging problem in patients with femoroacetabular impingement (FAI). Using real procedural footage and expert commentary from Dr. Ashish Batty, this educational walkthrough explains why these lesions occur, why they are historically difficult to treat, and how modern biologic technology is transforming hip preservation.
CAM delamination lesions often appear during hip arthroscopy for impingement. In early stages, surgeons may see only a subtle “wave sign”—a slight debonding of the acetabular cartilage. As FAI progresses, this can evolve into an unstable cartilage flap and ultimately full‑thickness grade‑4 cartilage loss exposing bone. These defects are poorly shouldered and difficult to fill, and conventional methods like microfracture are often limited due to poor access, angles, and the biology of the defect. Left untreated, these lesions can accelerate degenerative changes in the hip.
This is where the AutoCart™ hip procedure steps in. The AutoCart™ technique allows surgeons to repair the lesion in a single stage, using the patient’s own viable chondrocytes harvested during the same surgery. Dr. Batty explains that the delaminated cartilage flap itself may provide harvestable graft tissue—but even more reliably, the cartilage overlying the CAM lesion on the femoral side is an abundant source. Using a burr or shaver, healthy cartilage containing viable cells is collected into a GraftNet™ device, producing graft material with excellent biological potential.
This biologic cartilage is then mixed with BioCartilage® and ACP (autologous conditioned plasma), creating a slurry with the ideal blend of extracellular matrix, growth factors, and living chondrocytes. A 1:1 mixture of harvested cartilage and BioCartilage® is combined with a small amount of ACP to form a smooth, moldable graft capable of adhering to the prepared lesion.
One of the biggest challenges in acetabular cartilage work is drying the lesion adequately for biologic adhesion. AutoCart™ solves this with a specialized suction swab that fits through standard hip portals, making it possible to clear fluid and prepare the defect surface arthroscopically. Once dry, the mixture is delivered through a TUI needle with a paddle‑tip design that allows the surgeon to mold and contour the graft precisely into the defect—even in challenging acetabular angles common in FAI.
After filling the lesion, the surgeon applies a thin layer of thrombin‑based sealant to secure the graft in place. When traction is released, natural joint compression helps contour and stabilize the repair. Unlike two‑stage cartilage procedures, AutoCart™ does not require harvesting tissue during one surgery and implanting later. This streamlined method offers meaningful advantages for both patients and hip preservation specialists.
If you’re interested in modern biologic cartilage restoration, hip preservation, or advanced FAI treatment options, this video offers a high‑value look at how CAM Delamination Lesion Treatment is evolving.
👇 Helpful Arthrex Reference Links:
Hip Preservation Solutions: arthrex.com/hip
Learn more: arthrex.info/4i21S8g
👍 Like if you want more hip preservation techniques
💬 Comment your questions about CAM lesions or AutoCart™ biology
🔔 Subscribe for more cutting‑edge hip arthroscopy content
Arthrex is a global leader in orthopedic surgical innovation, dedicated to advancing minimally invasive techniques and medical education. Our mission is to help surgeons treat their patients better by providing cutting-edge products, expert training, and comprehensive resources for orthopedic procedures, including sports medicine, joint preservation, and trauma care.
Stay Connected: 👍 Subscribe to our channel for the latest in orthopedic surgical techniques and product updates.
📱 Follow Arthrex on:
LinkedIn: / linkedin.com/company/arthrex
Facebook: / facebook.com/Arthrex
Instagram: / instagram.com/arthrexmeded
X: https://x.com/arthrex
