Post-treatment rehabilitation after autologous chondrocyte implantation: state of the art and recommendations of the Clinical Tissue Regeneration Study Group of the …
MF Pietschmann, A Horng, C Glaser, D Albrecht… - Der Unfallchirurg, 2014 - Springer
MF Pietschmann, A Horng, C Glaser, D Albrecht, J Bruns, S Scheffler, S Marlovits, P Angele…
Der Unfallchirurg, 2014•SpringerBackground Over the course of the past two decades autologous chondrocyte implantation
(ACI) has become an important surgical technique for treating large cartilage defects. The
original method using a periostal flap has been improved by using cell-seeded scaffolds for
implantation, the matrix-based autologous chondrocyte implantation (mb-ACI) procedure.
Material and methods Uniform nationwide guidelines for post-ACI rehabilitation do not exist.
A survey was conducted among the members of the clinical tissue regeneration study group …
(ACI) has become an important surgical technique for treating large cartilage defects. The
original method using a periostal flap has been improved by using cell-seeded scaffolds for
implantation, the matrix-based autologous chondrocyte implantation (mb-ACI) procedure.
Material and methods Uniform nationwide guidelines for post-ACI rehabilitation do not exist.
A survey was conducted among the members of the clinical tissue regeneration study group …
Background
Over the course of the past two decades autologous chondrocyte implantation (ACI) has become an important surgical technique for treating large cartilage defects. The original method using a periostal flap has been improved by using cell-seeded scaffolds for implantation, the matrix-based autologous chondrocyte implantation (mb-ACI) procedure.
Material and methods
Uniform nationwide guidelines for post-ACI rehabilitation do not exist. A survey was conducted among the members of the clinical tissue regeneration study group concerning the current rehabilitation protocols and the members of the study group published recommendations for postoperative rehabilitation and treatment after ACI based on the results of this survey.
Results
There was agreement on fundamentals concerning a location-specific rehabilitation protocol (femoral condyle vs. patellofemoral joint). With regard to weight bearing and range of motion a variety of different protocols exist. Similar to this total agreement on the role of magnetic resonance imaging (MRI) for postsurgical care was found but again a great variety of different protocols exist.
Conclusions
This manuscript summarizes the recommendations of the members of the German clinical tissue regeneration study group on postsurgical rehabilitation and MRI assessment after ACI (level IVb/EBM).
Springer
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