Autologous Chondrocyte Transplantation / Implantation Versus Existing treatments


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PHYSIOTHERAPY REHABILITATION

Physiotherapy is an integral part of most treatments for articular cartilage defects in the knee. Appropriate physiotherapy will promote healing and maximise recovery without causing further damage. Andrea Bailey and colleagues at the Robert Jones & Agnes Hunt Orthopaedic Hospital have developed a series of rehabilitation protocols to suit the various treatments and locations of defects included in ACTIVE. If you are a Physiotherapist involved in the rehabilitation of ACTIVE patients it is important to follow the appropriate protocol for your patients as outlined in these documents:

Rehab Protocol 1: Microfracture/Mosaicplasty to Femoral Condyle

Rehab Protocol 2: Microfracture/Mosaicplasty to Trochlea

Rehab Protocol 3: ACI to Femoral Condyle

Rehab Protocol 4: ACI to Trochlea

Further reading:

"Rehabilitation After Oswestry Autologous-Chondrocyte Implantation: The Oscell Protocol." Journal of Sport Rehabilitation. 2003: 12: 104-118. Bailey A, Goodstone N, Roberts S et al.

Patient Advice Leaflets

Patients leaving hospital find it helpful to take one of Andrea's advice leaflets with them. The leaflets are tailored to the specific type of surgery and site of defect and illustrate various exercises patients should work on and sets clear goals to achieve throughout the rehabilitation period. The patient advice leaflets are available below and you may wish to refer your patients to this web page. If you would like a pack of leaflets posting to you please contact the Trial Manager.

Patient Advice Leaflet: Rehab for Debridement

Patient Advice Leaflet: Rehab for Microfracture to Femoral Condyle

Patient Advice Leaflet: Rehab for Microfracture to Trochlea

Patient Advice Leaflet: Rehab for Mosaicplasty to Femoral Condyle

Patient Advice Leaflet: Rehab for Mosaicplasty to Trochlea

Patient Advice Leaflet: Rehab for ACI to Femoral Condyle

Patient Advice Leaflet: Rehab for ACI to Trochlea

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ACTIVE is being carried out by the Robert Jones & Agnes Hunt Orthopaedic & District Hospital NHS Trust in collaboration with the University of Birmingham Clinical Trials Unit and Health Economics Facility. The trial is funded by the Medical Research Council and administrated by Keele University.