Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
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Osteochondral Defects — Autologous Chondrocyte Implantation (ACI)

Cartilage defects cause pain, swelling, mechanical symptoms; poor intrinsic healing. ACI: two-stage procedure — harvest cartilage → culture chondrocytes → reimplant under periosteal flap/biomatrix. Indications: symptomatic focal cartilage defects >2 cm² in young active patients. Alternatives: microfracture, OATS, osteochondral allograft. Complications: graft hypertrophy, delamination, failure.

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Cartilage defects cause pain, swelling, mechanical symptoms; poor intrinsic healing. ACI: two-stage procedure — harvest cartilage → culture chondrocytes → reimplant under periosteal flap/biomatrix. Indications: symptomatic focal cartilage defects >2 cm² in young active patients. Alternatives: microfracture, OATS, osteochondral allograft. Complications: graft hypertrophy, delamination, failure.
MCQs

High-yield practice questions

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Question 1

What is the primary indication for Autologous Chondrocyte Implantation (ACI)?

Question 2

What is the main advantage of third-generation ACI (MACI) over first-generation ACI?

Question 3

Which of the following is a contraindication for ACI?

Question 4

During the first stage of ACI, where is the cartilage harvested from?

Question 5

What is the ideal defect size for ACI?

Question 6

Which complication is commonly associated with first-generation ACI?

Question 7

What is the main purpose of the collagen membrane in second-generation ACI?

Question 8

What is the primary mechanism of action for ACI?

Question 9

Which of the following is a common alternative to ACI for treating cartilage defects?

Question 10

What is the key postoperative consideration following ACI?