Case Study – Autologous Chondrocyte Implantation

February 8, 2018 | By | Reply READ MORE...

Autologous Chondrocyte Implantation (ACI) is a two-part surgical procedure for the treatment of full thickness cartilage defects of the knee. The first surgical procedure is an arthroscopic procedure involving a detailed evaluation of the knee as well as biopsy of the cartilage is taken. The biopsy is sent to be cultured and grown to a large volume of cells. The second one is an open surgical procedure during which the cultured cells are re-implanted into the areas of cartilage damage within the knee.

Mansi (name changed), 24/F, came to PhysioRehab for rehab after her Autologus Chondrocyte Implantation (ACI) part 2 surgery. She is an interior designer by profession; her work involved sitting, standing, site visits and travelling. On the day of assessment her complains were:

  • Unable to bend her knee, prefers to keep her knees straight.
  • Difficulty in sitting and standing.
  • Difficulty in climbing three floors to her house.

Mansi had undergone an arthroscopy surgery of the knee on 17 June, 2017, followed by ACI on 29 August, 2017. Post the surgery she was advised to achieve 90 degrees of knee range, hence went to a physiotherapist locally. However, the physiotherapist was unable to achieve the required range and thus was referred to PhysioRehab by her surgeon.

At PhysioRehab, a complete assessment was done. After a detailed assessment, the following points were observed:

  • Knee range very limited, she could barely bend her knee.
  • Non-weight bearing walking, with walker and brace.
  • There was a 3 cm limb girth difference in the thigh.
  • Overall weak muscles of the leg.
  • Constant pain and apprehension.

She was told in detail about the problem areas and the importance of improving the range of motion of the knee. If a functional knee range of 120 degrees wasn’t achieved, then Mansi would have had to undergo an arthrodesis (fusion) of the knee joint. Hence, a tailor-made program was made at PhysioRehab in consideration with the recommendations given by the surgeon.

Initially her rehab was more focused on increasing the knee range, within 1 month from commencing therapy 110 degrees of knee range was achieved. Great care and patience had to be maintained as Mansi was very apprehensive and pain levels were high. She needed a lot of reassurance as she was nervous about her recovery.

Within 2 months of treatment with PhysioRehab, we not only achieved a functional range of 120 degrees but also helped Mansi wean off the walker and the brace. After which, the treatment involved in improving the strength of the muscles along with increasing the girth. She was also given guidance in training her gait and climbing stairs.

Now, she is fit to climb 3 flights of stairs without any discomfort and has slowly resumed work without any hindrance. However, she still prefers to come to PhysioRehab to further increase the strength of her muscles and make herself physically fit.

Patient Speak

Dear Dr. Shinee and Dr. Pooja,

The doctor had told me about the long physio process after my cartilage implant surgery for my knee.
Despite my initial physiotherapy sessions being unsatisfactory before joining PhysioRehab, you gave your best for my recovery.

Within three weeks, there was tremendous improvement in my knee movements.

I came here with only being able to bend my leg up to 20 degrees, whereas in 2-3 weeks you helped me bend my leg up to 120 degrees. The difference and improvement was clearly visible.

Dr.Shinee and Dr.Pooja, you treated me in a very warm, encouraging way, keeping a positive approach, wherein you wanted me to recover soon, as much as I wanted to.

The atmosphere and vibe here is very friendly. I’m sure nobody would go back home unsatisfied after joining PhysioRehab.

A huge thanks to both of you for putting so much effort in my recovery.

Thanks and Regards.

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Category: Case Studies

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