S/P Carticel Procedure

Definition:
When cartilage is damaged there is little that can be done to regrow the damaged area. In fact, damaged cartilage can spread to harm the healthy cartilage surrounding it and cause long-term problems such as osteoarthritis. Most patients with cartilage injuries simply learn to live with the pain. Today, that is no longer necessary. A new procedure called autologous cartilage transplantation (ACT) offers new ways to heal cartilage damage and prevent long-term deterioration.

Symptoms
  • Pain in the knee
  • Loss of ROM in the knee
  • Clicking or locking in the knee
  • Weakness in the affected lower extremity
Causes
  • Articular cartilage lesion
Treatment
  • Period of immobilization- knee locked in extension brace
  • Period of non-weight bearing
  • Passive ROM, progress to active ROM
  • Quadriceps muscle activation
  • Non-weight bearing lower extremity strengthening, progress to weight bearing lower extremity strengthening
  • Gait program
S/P Carticel Procedure Phase I

Purchase Phase

  • Crutch Walking
  • Passive Knee Extension
  • Patella Mobilization
  • Ankle Pumps
  • Quad Sets
  • Straight Leg Raise
  • Clams
  • Prone Glute Max Knees Bent
  • Heel Slides
  • Vmo Sets 30 60 90
  • SP Carticel Procedure
  • Weight Bearing Restrictions
  • DVT Clot Instructions

S/P Carticel Procedure Phase II

Purchase Phase

  • Step Overs
  • Single Leg Wall Sit
  • Straight Leg Bridge
  • Lunge Matrix
  • Stationary Bike
  • Single Leg Speed Skater
  • Adductor Straddle
  • Lotus
  • Passive Knee Flexion
  • Passive Knee Extension
  • Gait II

S/P Carticel Procedure Phase III

Purchase Phase

  • Step Overs
  • Lunge Matrix
  • Speed Skaters
  • Single Leg Sit Up Squat
  • 3-Dot Squat 2 Hands
  • Single Leg Lateral Box Jump
  • Single Leg Hop On Dina Disc
  • Single Leg Tuck Jump