AANA19 Knee Access Pass-MACI for Patella Lesions-Dr. Andreas H. Gomoll, M.D.

MACI for Patella Lesions-Dr. Andreas H. Gomoll, M.D.

Video Transcription

Video Summary

The speaker discusses autologous chondrocyte implantation (ACI), specifically the MACI procedure, for cartilage repair in the knee, highlighting its evolution, benefits, and limitations. MACI is versatile for various defect sizes and complex anatomy, particularly in the patellofemoral joint, and avoids bone damage. While it has a long rehab and is costly due to its two-stage nature, it boasts strong long-term data and insurance coverage. Outcomes are positive even for bipolar defects when combined with proper bone support. Careful patient selection is needed, considering defect size, location, and bone quality, but MACI offers effective, well-studied cartilage restoration.

Keywords

Autologous chondrocyte implantation

MACI procedure

Cartilage repair

Patellofemoral joint

Bipolar defects