MACI surgery offers healthcare providers the versatility to treat cartilage defects in multiple areas, including the femoral condyles, patella and trochlea. A recent case explores how a 23-year-old former college athlete pursued surgical treatment to address knee cartilage pain caused by a trochlear defect. Review the patient’s case history, treatment with MACI knee cartilage surgery and outcome.
- 23-year-old male patient
- Former college lacrosse player, plays recreational basketball and snowboards
Patient’s Knee History
- Recurrent damage from continued athletics and small injuries
- Pain worsening over last two years.
- Swelling occurred with kneeling, pain and popping with any squatting or cutting
- No prior surgery
- Arthroscopy revealed a trochlear defect of 2.5 x 2 cm
- Meniscus and patella both intact
- No bony involvement, good surrounding cartilage
- No comorbidities
Following the initial arthroscopy, Dr. Garcia proceeded with MACI surgery and took a multi-pronged approach:
- Due to the size of the defect, a larger cartilage procedure was warranted, so MACI surgery was selected
- The defect size post debridement equaled 2.5 x 2 cm and one MACI implant was used during the surgery
- Brace for 6 weeks, continuous passive motion machine (CPM) x 3 weeks, advance diet as tolerated (ADAT)
- Weight-bearing-as tolerated (WBAT) when straight leg raise test performed
- Goal range of motion 0–90 after first 2 weeks
- Stairs avoided for 6 months, no squats first 12 weeks, then progressed to full squat
- Started elliptical & bike 3 months
- Started running around 6 months
- Patient returned to all sports at 9 months post-op with full range of motion and no swelling
Explore MACI knee cartilage repair clinical trials and patient outcomes here.
Individual results may vary.
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