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First published on January 25, 2006, doi:10.1177/0363546505281918

(American Journal of Sports Medicine 2006;34:1020.)

A more recent version of this article appeared on June 1, 2006
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Article

Autologous Chondrocyte Implantation Postoperative Care and Rehabilitation: Science and Practice

Karen Hambly, PT, MCSP1*, Vladimir Bobic, MD, FRCSEd2, Barbara Wondrasch, PT3, Dieter Van Assche, PT, MSc4, Stefan Marlovits, MD, MBA5

1 Department of Health and Human Sciences, London Metropolitan University, London, United Kingdom
2 Chester Knee Clinic, The Grosvenor Nuffield Hospital, Chester, United Kingdom
3 Academy for Physiotherapy of the General Hospital of Vienna, Vienna, Austria
4 Department of Rheumatology, University Hospital Leuven, Leuven, Belgium
5 Department of Traumatology, Medical University of Vienna, Vienna, Austria

* To whom correspondence should be addressed. E-mail: k.hambly{at}londonmet.ac.uk.


  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.

Key Words: rehabilitation, cartilage repair, autologous chondrocyte implantation (ACI), knee, patellofemoral, tibiofemoral




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