Optimization of Collagen Scaffold with Cultured Autologous Chondrocytes for Osteochondritis Dissecans of the Knee: A Case Report

Autor: Nicolas Valladares, Gibran J. Jacobo-Jimenez, Nathaniel Lara-Palazuelos, Maria G. Zavala-Cerna
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Reports, Vol 7, Iss 3, p 62 (2024)
Druh dokumentu: article
ISSN: 2571-841X
DOI: 10.3390/reports7030062
Popis: The treatment of osteochondritis dissecans of the knee has always been a challenge for orthopedic surgeons. We present a case report of a 38-year-old male with severe right knee pain after suffering from an indirect trauma and axial rotation of the knee, limiting knee functionality and impeding his ability to walk, with a diagnosis of osteochondritis dissecans in the trochlea of the knee, who underwent arthroscopic treatment with matrix-induced autologous chondrocyte implantation (MACI). After the surgery, a physical therapy protocol for MACI was implemented, and magnetic resonance images with cartilage mapping were used to evaluate the recovery of the lesion. A total recovery was observed and evaluated with the modified Cincinnati knee rating system (mCKRS). A discussion is provided with evidence and general recommendations for the use of MACI in the treatment of adult OCD of the knee as a possible alternative to conventional treatments. Our case shows a rapid improvement in pain and functionality 2 months after surgery that progressed to full recovery within 6 months.
Databáze: Directory of Open Access Journals
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