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On-Line Knee Library

Compiled by Michael Frind. Site last updated Sunday, November 13, 2011.

Click here to return to the subsection Articular Cartilage, Bone Bruising, and Chondrosurgery .
Click here to return to the subsection General Knee-Rehabilitation Resources.


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Document Title: Hambly-AJSM-Jun06.shtml
Article Title: Clinical Sports Medicine Update: Autologous Chondrocyte Implantation Postoperative Care and Rehabilitation -- Science and Practice
Authors: Karen Hambly, PT, MCSP, Vladimir Bobic, MD, FRCSEd, Barbara Wondrasch, PT, Dieter Van Assche, PT, MScll and Stefan Marlovits, MD, MBA
Publication: American Journal of Sports Medicine, Baltimore, Maryland
Date: June 2006
Volume 34, pages 1020-1038
Keywords: ACI, Autologous Chondrocyte Implantation, rehabilitation, postoperative care, protocol, articular cartilage surgery, cartilage repair, chondrosurgery, patellofemoral, tibiofemoral.


(Reference-denoting numbers appear in the same font and point size as the document text. As with all Knee Library documents, this article is provided in full-text form, complete with all figures and tables.)


Comments: This article gives an excellent overview of the rehabilitation options, therapeutic modalities, and exercises available after articular-cartilage repair via ACI (Autologous Chondrocyte Implantation) grafting.

Table of Contents/Listing of Headings: TOP
ABSTRACT
INTRODUCTION
PROCEDURE AND VARIATIONS OF ACI
PRINCIPLES OF ACI REHABILITATION
CLINICAL BIOMECHANICS
BIOMECHANICS OF THE PATELLOFEMORAL JOINT
BIOMECHANICS OF THE TIBIOFEMORAL JOINT
OPEN KINETIC CHAIN VERSUS CLOSED KINETIC CHAIN EXERCISES
ACTIVE AND PASSIVE MOVEMENTS
CONTINUOUS PASSIVE MOTION
ORTHOSES
ACI AND PRICES
PROPRIOCEPTION AND NEUROMUSCULAR FUNCTION
HYDROTHERAPY
MANUAL THERAPY AFTER ACI
ELECTROTHERAPEUTIC MODALITIES AND EMG BIOFEEDBACK
EXERCISE MODALITIES
RETURN TO SPORT AFTER ACI
ACI REHABILITATION PROGRAMMING
FUTURE DIRECTIONS
REFERENCES

ABSTRACT

Autologous chondrocyte implantation is an advanced, cell-based orthobiological technology used for the treatment of chondral defects of the knee. It has been in clinical use since 1987 and has been performed on 12 000 patients internationally; but despite having been in clinical use for more than 15 years, the evidence base for rehabilitation after autologous chondrocyte implantation is notably deficient. The authors review current clinical practice and present an overview of the principles behind autologous chondrocyte implantation rehabilitation practices. They examine the main rehabilitation components and discuss their practical applications within the overall treatment program, with the aim of facilitating the formulation of appropriate, individualized patient rehabilitation protocols for autologous chondrocyte implantation.


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Copyright American Journal of Sports Medicine, American Orthopaedic Society for Sports Medicine, June 2006. For details regarding copyright as it applies to this page, please visit the page entitled Site Terms of Use and Aspects of Copyright on this site.

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