期刊
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
卷 40, 期 2, 页码 206-214出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1249/mss.0b013e31815cb228
关键词
cartilage defects; chondral injuries; cartilage regeneration; cartilage lesions
Autologous chondrocyte implantation (AC1) is a treatment option for full-thickness chondral, or osteochondral injuries that are painful, debilitating, and progressive. Goals of surgery and rehabilitation include replacement of damaged cartilage with hyaline or hyaline-like structure, maintained durability to withstand knee intraarticular forces over time with a productive level of function, and restoration of the normal surface congruity of the joint. Intertnediate and long-term results are promising in terms of clinical improvement and durability using ACI. This article outlines the surgical technique, the histological and biomechanical principles on which the surgery and rehabilitation process are based, and a recommended rehabilitation protocol.
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