FOLLOWING a MACI procedure
Recovery time varies greatly as no two patients are alike. Each surgeon will develop an individual rehabilitation program for their patients, below are general guidelines for typical patient recovery.1
Individual results may vary. MACI is contraindicated in patients who are unable to follow a physician-prescribed post-surgical rehabilitation program.
The goal is to restore optimal function in each patient as quickly and safely as possible. Although timeframes have been established as a guide, it is more important that goals are reached at the end of each phase prior to progression to the next.
Goals: Maintain joint mobility and muscle tone, weight-bearing <20%
Goals: Pain-free and full passive knee extension; limited weight bearing; continue to manage pain, swelling, and wound care
strengthen & straighten
Goals: Independent with crutches for activities of daily living; pain-free active knee flexion to 125°; independent in performing home exercises
Goals: Work toward movement free of ambulation devices and knee braces, independent with rehabilitation exercises
return to daily activity
Goals: Return to strenuous daily activities on a limited basis; unimpeded, pain-free movement through everyday environments, including stairs
Goals: Returns to low-impact recreational activities by gradually increasing the difficulty of exercises
return to full activity
Goals: A full return to recreational activities, working toward individual goals as the implant matures
1. Jay Ebert, PhD, AEP ESSAM. MACI (autologous cultured chondrocytes on porcine collagen membrane) Rehabilitation Manual. October, 2018