Reoperation after autologous chondrocyte implantation

Reoperation after autologous chondrocyte implantation. Indications and findings.

We have reviewed 22 patients from a total of 135 treated by autologous chondrocyte implantation (ACI) who had undergone further surgery for pain in the knee and mechanical symptoms after a mean of 10.5 months. There were 31 grafted lesions. At operation the findings included lifting (24/31) and detachment (3/31) of periosteal patches for which arthroscopic shaving was performed. Chondroplasty w...

Rehabilitation after autologous chondrocyte implantation in athletes.

Over the years a variety of cartilage restorative procedures have been developed for athletes to address focal, full-thickness cartilaginous defects in the knee joint, including microfracture, osteochondral autografts, osteochondral allografts, autologous chondrocyte implantation (ACI), and most recently, next-generation ACI involving scaffolds or cell-seeded scaffolds. Since its introduction, ...

Autologous Chondrocyte Implantation

Incomplete defect filling after third generation autologous chondrocyte implantation

INTRODUCTION Third generation autologous chondrocyte implantation (ACI) is a suitable method for the treatment of cartilage defects in the knee joint. However, knowledge about the development of graft thickness and the clinical relevance of incomplete defect filling in the postoperative course is low. This prospective study analyses the graft integration into the surrounding cartilage, with spe...

Accuracy of partial weight bearing after autologous chondrocyte implantation.

OBJECTIVE To determine whether patients can accurately replicate and retain weight-bearing restrictions in both stationary (static) and dynamic conditions after autologous chondrocyte implantation (ACI). DESIGN Case series. SETTING Rehabilitation clinic. PARTICIPANTS A consecutive sample of patients (N=48) who had undergone ACI to a medial or lateral femoral condylar defect in the knee. ...