Patella mobilization.
It has been approved by the Food and Drug Administration for cartilage defects located at the end of the femur bone (thigh). < 0000003446 00000 n
During this time, physical therapy emphasizing range-of-motion of the knee and strengthening activities is prescribed.
0000124816 00000 n
0000009874 00000 n MCL Grade II Sprain – Stable. It has been approved by the Food and Drug Administration for cartilage defects located at the end of the femur bone (thigh). 0000008985 00000 n 0000001361 00000 n Autologous Chondrocyte Transplantation Rehab. Following implantation there is a period of restricted weight-bearing for up to 8 weeks. 0000002469 00000 n
stream 0000191188 00000 n 0000004359 00000 n 0000004841 00000 n 0000005842 00000 n 0000207532 00000 n This protocol will help do that.– Femoral condyle defects – 0 to 45 degrees weeks 1 – 2, 0 to 90 degrees weeks 2 – 4, 0 to 120 degrees weeks 4 – 8.– Trochlear defects – 0 to 30 degrees weeks 1 – 2, 0 to 90 degrees weeks 2 – 4, 0 to 120 degrees weeks 4 – 8.– Femoral condyle defects – NWB for first 6 weeks then PWB next at 6 weeks with the crutches.– Trochlear defects – Can PWB right away.
Autologous chondrocyte implantation (ACI), which was initiated during the 1980s in Sweden, is a treatment option for full-thickness chondral or osteochondral injuries (26). 0000006138 00000 n MCL Grade III Sprain. x��]��q)ZV��(�$��HiEQԮ|7��C�#!H ��v�''@2�.�^�z���wjnw�%� � `53]���ճ�~ިI���ۏ?�x���h��o6&�M��M!��o�%n��O��>�٘�Y�?S�������4Y���������^C���Z�y��5圝���1)M9l�VS4��?^l7��� ����)o � The overall success rate of ACI is approximately 85% in allowing patients to return to pain-free activities. 5 0 obj The first procedure is performed arthroscopically in less than 30 minutes. These cells need to be protected to prevent displacement. 0000000016 00000 n 0000011795 00000 n Strengthing / Stretching– Only quad sets and SLR’s for quad strengt… Modalities/Education: • NMES (neuromuscular electrical stimulation) for quadriceps atrophy • Cryotherapy 6-8 times per day for 15 to 20 minutes each Manual: • Scar and soft tissue mobilization as needed • Careful and gentle patella and peri-patella soft tissue mobilizations … 0000006885 00000 n The second-stage operation is an open procedure whereby a small patch is sewn over the articular cartilage defect.
This is intended for use by physical therapists. Weightbearing! 0000180909 00000 n 0000181082 00000 n
ROM Restrictions– Passive ROM with CPM only for first 6 weeks. 0000011607 00000 n 0000191422 00000 n Rehabilitation Protocol: Autologous Chondrocyte Implantation (ACI)/DeNovo NT Implantation (Femoral Condyle) ... o Weeks 0-2: Hinged knee brace locked in extension– remove for CPM and rehab with PT o Weeks 2-4: Gradually open brace at 20° intervals as quad control is obtained Once these chondrocytes are obtained, they are then expanded in number and sent back to the surgeon approximately 6 to 8 weeks later for implantation. Rehabilitation Protocol: Autologous Chondrocyte Implantation (ACI)/DeNovo NT Implantation (Trochlea/Patella)!!
0000003667 00000 n 0000005815 00000 n Autologous chondrocyte implantation is a two-stage operative procedure. Articular cartilage (AC) provides a resilient surface for friction free movement of joints.
0000124311 00000 n chondrocyte implantation rehabilitation practices. Distal Patellar Realignment. 0000002974 00000 n trailer The surgeon will harvest a small piece of articular cartilage from the patient’s knee, typically the size of one or two Tic-Tacs. 0000004601 00000 n Autologous chondrocyte implantation was considered as a treatment option if there was an isolated patellar cartilage defect Outerbridge grade 3 or 4 24 that was larger than 2 cm 2. 0000004336 00000 n %PDF-1.5 %���� The chondrocytes that have been harvested and expanded are then injected underneath this patch where they adhere to the patient’s knee to form what is known as hyaline-like cartilage which resembles the native joint cartilage. 0000002814 00000 n 0000007987 00000 n
Try to avoid any active ROM – Femoral condyle defects – 0 to 45 degrees weeks 1 – 2, 0 to 90 degrees weeks 2 – 4, 0 to 120 degrees weeks 4 – 8. Knee PCL Reconstruction. Increase intensity of workouts.
0000124655 00000 n Matrix Autologous Chondrocyte Implantation (MACI) of the Femoral Condyle Rehabilitation Protocol • 4-way straight leg raises, quad sets • Open kinetic chain knee extension - 90° to 40° without resistance • Stationary bike for ROM without resistance The emphasis of this guideline is to protect the graft site and return the patient to an optimal level of function. %�쏢 0000091419 00000 n
Return to light sports activities is typically allowed at approximately 6 months with return to full sports activities between 9 and 12 months following the procedure based on the recovery. ACI involves two procedures, the first of which is a minimally invasive arthroscopic assessment of the knee where the area of A surgeon may also recommend the use of continuous passive motion (CPM) machine to improve the graft’s success.