Autologous Chondrocyte Implantation

Autologous Chondrocyte Implantation (ACI) is a cutting-edge surgical procedure used to treat cartilage defects in the knee.

It involves taking healthy cartilage cells (chondrocytes) from the patient's own body, growing them in a lab, and then implanting them back into the damaged area to promote cartilage regeneration.

This innovative treatment offers hope for patients suffering from cartilage injuries, providing a long-term solution for restoring joint function and reducing pain.

Indications of Autologous Chondrocyte Implantation

ACI is typically recommended for patients with symptomatic cartilage defects in the knee that have not responded to conservative treatments such as physical therapy or medication.

Common indications for ACI include cartilage damage from sports injuries, osteoarthritis, or other degenerative conditions. Symptoms may include pain, swelling, stiffness, and limited range of motion in the affected joint.

Steps involved in Autologous Chondrocyte Implantation Surgery

The first step in ACI surgery is arthroscopic evaluation of the knee joint to assess the extent of cartilage damage. Next, a small sample of healthy cartilage cells is harvested from a non-weight-bearing area of the knee.

These cells are then sent to a specialized lab where they are cultured and expanded over several weeks.

Once an adequate number of chondrocytes are grown, they are implanted into the damaged area of the knee using a specialized surgical technique.

Who will perform Autologous Chondrocyte Implantation Surgery?

Autologous Chondrocyte Implantation surgery is typically performed by an orthopedic surgeon who specializes in knee joint procedures. These surgeons have extensive training and experience in treating cartilage injuries and are skilled in performing complex arthroscopic procedures.

It is important to choose a surgeon who has a proven track record of success with ACI surgery to ensure the best possible outcome.

Preparing for Autologous Chondrocyte Implantation Surgery

Before undergoing ACI surgery, patients will need to undergo a thorough preoperative evaluation to assess their overall health and fitness for the procedure. This may include blood tests, imaging studies, and a physical examination.

Patients will also need to follow specific preoperative instructions, such as avoiding certain medications or dietary restrictions in the days leading up to surgery. It is important to discuss any concerns or questions with your healthcare provider before the procedure.

Recovery after Autologous Chondrocyte Implantation surgery

The recovery process after Autologous Chondrocyte Implantation surgery can vary depending on the extent of the cartilage damage and the individual patient's healing response.

In general, patients can expect to gradually increase their activity level over several weeks to months following surgery. Physical therapy and rehabilitation are often recommended to help improve strength, range of motion, and functional outcomes.

It is important to follow your surgeon's postoperative instructions carefully to optimize your recovery and long-term success with ACI.

 

Frequently Asked Questions

How is autologous chondrocyte implantation (ACI) performed?

Autologous chondrocyte implantation (ACI) is a two-step procedure. First, healthy cartilage cells are taken from a non-weight-bearing area of the patient's joint. These cells are then grown in a lab for several weeks. In the second step, the matured cells are implanted into the damaged area of the joint during a surgical procedure to help repair the cartilage.

What conditions are treated with autologous chondrocyte implantation?

Autologous chondrocyte implantation is used to treat cartilage defects in the knee joint due to injury or osteoarthritis.

What is the recovery time for autologous chondrocyte implantation?

The recovery time for autologous chondrocyte implantation varies but can take several months for full recovery.

What are the risks of autologous chondrocyte implantation surgery?

The risks of autologous chondrocyte implantation surgery include infection, blood clots, and pain at the site of the procedure.

How effective is autologous chondrocyte implantation for cartilage repair?

Autologous chondrocyte implantation is a proven method for repairing damaged cartilage by using a patient's own cartilage cells to restore the joint surface. It has shown promising results in improving symptoms and function in patients with cartilage defects.

How long does the cartilage repaired with ACI last?

The cartilage repaired with Autologous Chondrocyte Implantation (ACI) can last for many years, providing long-term relief from symptoms and improved joint function.

Is physical therapy required after autologous chondrocyte implantation?

Yes, physical therapy is typically recommended after autologous chondrocyte implantation to help improve joint strength, flexibility, and function.

Can autologous chondrocyte implantation prevent the need for joint replacement?

Autologous chondrocyte implantation may help delay or prevent the need for joint replacement in some cases by repairing damaged cartilage. However, it may not be suitable for everyone, and the outcomes can vary.

How soon can I return to physical activities after autologous chondrocyte implantation?

You can usually return to physical activities like walking and swimming within 3 to 6 months after autologous chondrocyte implantation.

What are the complications associated with autologous chondrocyte implantation?

Complications associated with autologous chondrocyte implantation can include infection, graft failure, pain, swelling, and stiffness in the joint.