Autologous Chondrocyte Implantation
Rehabilitation Guide for Patella and Trochlea MACI Repair Following repair of the patella or the trochlea surfaces there are key differences in the rehabilitation as the involved surfaces take load during bending of the knee and not when standing with leg straight. First 6 weeks: Graft Protection phase First 1 -2 days before going…
Rehabilitation Guide for Femoral Condyle MACI Repair First 6 weeks: Graft Protection phaseFirst 1 -2 days before going home KNEE EXTENSION SPLINT (BRACE) APPLIED IN THEATRE HOLDING KNEE STRAIGHT until first morning. Then start bending knee on first morning. Leg to stay straight in knee brace when walking and at night for 2 weeks until…
The rehabilitation program here has tried to incorporate a wide range of exercises that can be done to get you back to full fitness as soon as possible after your surgery. The guide is written for you and for the physiotherapist. The exercises will need clarifying with the physiotherapist to ensure you are doing them…
The Importance of Correct Postoperative Rehabilitation The main principle in the rehabilitation process is to avoid impact loading and twisting or shearing forces for a minimum of 3 months following surgery as this may damage the repair and prevent growth and maturing of the new healing surface. To get the maximum benefit from MACI, you…
Rehabilitation depends on three determining factors: Location of repaired defect, Size of lesion and state of the border (contained or not). Controlling sheer stress and loading in the tibia femoral joint is undertaken by a variety of methods: Understanding of exact location of the repair and how it impinges on the opposing side and at…
Rehabilitation can be individualised according to the following factors. General factors: Age Motivation Social support Specific local factors: Exact location of repair Size of repair Condition of the borders of the repair (contained or not contained) Duration of symptoms before surgery (more less than twelve months) Pre-injury activity level (professional or nonprofessional, high or low…
3.7.1 Nutrition and Joint Circulation Exercises In order to maintain nutrition of the articular cartilage the synovial fluid needs to circulate around the knee, remembering that cells source their nutrition from the joint fluid, not the bone marrow base. This is aided by joint circulation exercises, stimulating synovial fluid production and nutrition of articular cartilage….
Articular Cartilage Rehabilitation Rehabilitation needs to take into account the underlying biological healing process of the new articular cartilage combined with the concept of protecting the repaired tissue while simultaneously trying to first maintain, and then improve, general function. The main phases are as follows: 1. Preoperative phase: Reduction of joint inflammation. Optimising the knee…
Rehabilitation of Patients after Cartilage Repair Procedures Detailed scientific basis for rehabilitation is lacking and this has been criticised in various review papers. In addition to evaluating techniques, compliance with rehabilitation regimes is also difficult to assess. Most surgeons and therapists however realise the importance of rehabilitation in the contribution to the overall outcome. Another…
Information for the patient: Overview of what happens after your operation Before being discharged, which usually occurs on the day following surgery or a day later, you will be seen by the ward physiotherapist and the nurses. You will learn how to care for your knee scars, how to get around, what activities you should…
