Affordable Access

deepdyve-link
Publisher Website

First successful autologous chondrocyte implantation in Pakistan.

Authors
  • Ahmad, Tashfeen
  • Umer, Masood
  • Lubbad, Loay
  • Lakdawala, Riaz Hussain
  • Siddiqui, Anwar Ali
Type
Published Article
Journal
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
Publication Date
Mar 01, 2008
Volume
18
Issue
3
Pages
185–187
Identifiers
DOI: 03.2008/JCPSP.185187
PMID: 18460253
Source
Medline
License
Unknown

Abstract

Osteochondritis dissecans entails a hyaline cartilage defect of the articular surface causing pain and functional restriction in young adults, sometimes resulting in early degenerative arthritis. Conventional treatment methods such as abrasion chondroplasty and mosaicplasty have limitations in terms of quality of the resultant cartilage and donor site morbidity. A more recent technique, autologous chondrocyte implantation (ACI) results in hyaline cartilage formation and gives good long-term outcome, but requires a high-level cell culture facility and two surgical procedures. The patient was a young female with knee pain, intermittent locking and feeling of "joint mouse". MRI scan and arthroscopy showed a 2 x 2 cm full thickness osteochondral defect in the medial femoral condyle. A free fragment of articular cartilage was found, which was extracted arthroscopically, and chondrocytes were cultured from it in the Juma laboratory. Subsequently, patient underwent surgery whereby the chondrocytes were injected under a periosteal patch sewn over the defect. Over six months, patient's symptoms completely resolved and she returned to full function. A repeat arthroscopy after one year revealed complete filling of the previous defect with normal appearing cartilage indicating success of the procedure. This technology can be utilized for treating patients with a variety of conditions affecting hyaline cartilage of joints.

Report this publication

Statistics

Seen <100 times