When a big part of your life is defined by your active lifestyle, knee cartilage pain and instability can make you feel like a part of yourself is missing. The MACI procedure for knee cartilage repair can help provide improvements in both pain and function. Dr. Scott Luallin, an orthopedic surgeon and sports medicine specialist at University Health Lakewood in Kansas City, MO shares a recent case that shows how one patient returned to her active lifestyle thanks to MACI.
Here are the details of Dr. Laullin’s case.
Becky, an avid CrossFitter, is a 31-year-old former collegiate athlete who struggled with burdensome symptoms of knee cartilage damage for 15 years. After prior treatments failed to provide lasting relief, she decided to try MACI.
Patient’s Knee History
- History of recurrent right knee patella dislocation during her collegiate soccer career, starting in 2005
- MRI showed loss of articular cartilage with exposed subchondral bone (Grade IV chondromalacia patella and trochlea, TT-TG distance of 15 mm) in the right trochlea and patella
- Prior treatments: Lateral release, bracing, PT
- No comorbidities
- Patient had a strong desire to return to her active lifestyle without pain or recurrent patellar instability
Following the initial arthroscopy, Dr. Luallin proceeded with MACI surgery and took a multi-pronged approach:
- Anteromedial tibial tubercle transfer
- Medial quadriceps tendon femoral ligament reconstruction
- Lateral retinacular Z lengthening
- MACI patella and trochlea
- After three months of formal therapy, Becky transitioned to a home exercise program, and adhered to her physical therapy protocol
- Pain level: 0/10
- Weight bearing: Full
- Strength: 4+/5 quad, otherwise 5/5
2 Years Post-operative
- Becky has been able to completely return to CrossFit, including occasional running, plyometrics and deep squatting exercises.
- She’s pain free and back to her own active lifestyle (Individual rehab results may vary)
Individual results will vary.
For more details on Dr. Luallin’s approach and results, click here to watch a video of this case study.
Please see below for full indication and ISI.