Banner - Hide this banner





Author Topic: Knutsen study  (Read 9079 times)

0 Members and 1 Guest are viewing this topic.

Offline David3

  • Regular Poster
  • ***
  • Posts: 143
  • Liked: 0
Re: Knutsen study
« Reply #15 on: June 12, 2008, 12:15:47 AM »
Interesting stuff.

Is there anything that can be done in rehab to encourage the tissue to become more hyaline rather than fibro? Would cycling and other controlled 'sliding motions' create an environment which could encourage better quality cartilage growth? Or is it 'random' and outside the patient and surgeon's control?
2006: Left Knee (LK) microfracture (MFC, LFC, Trochlear), failed at 6 months
7/07: ACI/TTO of LK (MFC, LFC, trochlea, patella)
2014: Considering ACI treatment on RK.

Offline John1

  • Forum Faithful
  • ****
  • *
  • Posts: 197
  • Liked: 0
Re: Knutsen study
« Reply #16 on: June 12, 2008, 11:50:09 PM »
Is there anything that can be done in rehab to encourage the tissue to become more hyaline rather than fibro? Would cycling and other controlled 'sliding motions' create an environment which could encourage better quality cartilage growth? Or is it 'random' and outside the patient and surgeon's control?

The motion and stresses on the cells can determine if they become cartilage or fibrous tissue. I don't think anyone knows what the proper amount of motion is to get the most cartilage. It is hard to determine because of the different shapes and locations of cartilage defects. So, no, I don't believe it's random and the research papers usually suggest motion for rehab (versus no motion).
4/12/05 Arthroscopy: plica removal and medial femoral condyle microfracture (2 cm^2)
11/9/05 Arthroscopy: complete removal of plica, removal of scar tissue on fat pad behind patella tendon and on medial side.