Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 8 , Pages 1528-1534 , August 2008

Accuracy of Partial Weight Bearing After Autologous Chondrocyte Implantation

Presented to the World Congress of the International Cartilage Repair Society, September 30, 2007, in Warsaw, Poland.

  • Jay R. Ebert, PhD

      Affiliations

    • School of Sport Science, Exercise and Health, University of Western Australia, Perth, Australia
    • Corresponding Author InformationReprint requests to Jay R. Ebert, PhD, School of Sport Science, Exercise and Health, University of Western Australia, 35 Stirling Hwy, Crawley, Pkwy Entrance 3, Perth, 6009, Australia
    • ,
  • Timothy R. Ackland, PhD, FASMF

      Affiliations

    • School of Sport Science, Exercise and Health, University of Western Australia, Perth, Australia
    • ,
  • David G. Lloyd, PhD

      Affiliations

    • School of Sport Science, Exercise and Health, University of Western Australia, Perth, Australia
    • ,
  • David J. Wood, MS, FRCS, FRACS

      Affiliations

    • School of Surgery and Pathology, University of Western Australia, Perth, Australia.

References 

  1. Brittberg M, Lindahl A, Nilsson A, Ohlsson C, Isaksson O, Peterson L. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994;331:889–895
  2. Gillogly SD, Voight M, Blackburn T. Treatment of articular cartilage defects of the knee with autologous chondrocyte implantation. J Orthop Sports Phys Ther. 1998;28:241–251
  3. Peterson L, Minas T, Brittberg M, Nilsson A, Sjogren-Jansson E, Lindahl A. Two- to 9-year outcome after autologous chondrocyte transplantation of the knee. Clin Orthop Relat Res. 2000;(374):212–234May
  4. Ronga M, Grassi FA, Bulgheroni P. Arthroscopic autologous chondrocyte implantation for the treatment of a chondral defect in the tibial plateau of the knee. Arthroscopy. 2004;20:79–84
  5. Hambly K, Bobic V, Wondrasch B, Van Assche D, Marlovits S. Autologous chondrocyte implantation postoperative care and rehabilitation: science and practice. Am J Sports Med. 2006;34:1–19
  6. In:  Robertson WB,  Gilbey H,  Ackland T editor. Standard practice exercise rehabilitation protocols for matrix induced autologous chondrocyte implantation femoral condyles. Perth: Hollywood Functional Rehabilitation Clinic; 2004;
  7. Hurkmans HL, Bussmann JB, Selles RW, Benda E, Stam HJ, Verhaar JA. The difference between actual and prescribed weight bearing of total hip patients with a trochanteric osteotomy: long-term vertical force measurements inside and outside the hospital. Arch Phys Med Rehabil. 2007;88:200–206
  8. Gray FB, Gray C, McClanahan JW. Assessing the accuracy of partial weight-bearing instruction. Am J Orthop. 1998;27:558–560
  9. Dabke HV, Gupta SK, Holt CA, O'Callaghan P, Dent CM. How accurate is partial weightbearing?. Clin Orthop Relat Res. 2004;(421):282–286Apr
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  12. Youdas JW, Kotajarvi BJ, Padgett DJ, Kaufman KR. Partial weight-bearing gait using conventional assistive devices. Arch Phys Med Rehabil. 2005;86:394–398
  13. Warren CG, Lehmann JF. Training procedures and biofeedback methods to achieve controlled partial weight bearing: an assessment. Arch Phys Med Rehabil. 1975;56:449–455
  14. Li S, Armstrong CW, Cipriani D. Three-point crutch walking: variability in ground reaction force during weight bearing. Arch Phys Med Rehabil. 2001;82:86–92
  15. Gapsis JJ, Grabois M, Borrell RM, Menken SA, Kelly M. Limb load monitor: evaluation of a sensory feedback device for controlled weight bearing. Arch Phys Med Rehabil. 1982;63:38–41
  16. King PS, Gerhardt JJ, Pfeiffer EA, Usselman LB, Fowlks EW. System for controlling ambulation pressure (SCAP-3) in patients with disabilities of the lower extremity. Am J Phys Med. 1972;51:9–15
  17. Tveit M, Karrholm J. Low effectiveness of prescribed partial weight bearing (Continuous recording of vertical loads using a new pressure-sensitive insole). J Rehabil Med. 2001;33:42–46
  18. Krause D, Wunnemann M, Erlmann A, et al. Biodynamic feedback training to assure learning partial load bearing on forearm crutches. Arch Phys Med Rehabil. 2007;88:901–906
  19. Vasarhelyi A, Baumert T, Fritsch C, Hopfenmuller W, Gradl G, Mittlmeier T. Partial weight bearing after surgery for fractures of the lower extremity—is it achievable?. Gait Posture. 2006;23:99–105
  20. Chow SP, Cheng CL, Hui PW, Pun WK, Ng C. Partial weight bearing after operations for hip fractures in elderly patients. J R Coll Surg Edinb. 1992;37:261–262
  21. Robertson WB, Fick D, Wood DJ, Linklater JM, Zheng MH, Ackland TR. MRI and clinical evaluation of collagen-covered autologous chondrocyte implantation (CACI) at two years. Knee. 2007;14:117–127
  22. Hughes J, Clark P, Klenerman L. The importance of the toes in walking. J Bone Joint Surg Br. 1990;72:245–251
  23. Winter D. Biomechanics and motor control of human movement. 2nd ed. New York: John Wiley; 1990;
  24. Smith AJ, Lloyd DG, Wood DJ. Pre-surgery knee joint loading patterns during walking predict the presence and severity of anterior knee pain after total knee arthroplasty. J Orthop Res. 2004;22:260–266
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  26. Willers C, Wood D, Zheng MH. A current review on the biology and treatment of articular cartilage defects (parts I & II). J Muscoskel Res. 2003;7:157–181

 Supported by the Hollywood Private Hospital Research Foundation (grant nos. RF16, RF31), the National Health and Medical Research Council (grant no. ID254622), University of Western Australia (2007 Whitfeld Fellowship).No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(08)00349-3

doi: 10.1016/j.apmr.2008.02.019

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 8 , Pages 1528-1534 , August 2008

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