J Med Assoc Thai 2009; 92 (10):1282

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Autologous Chondrocytes Implantation with Three-Dimensional Collagen Scaffold
Kasemkijwattana C Mail, Kesprayura S , Chaipinyo K , Chanlalit C , Chansiri K

Objective: The authors report a patient with large traumatic knee cartilage defects treated with autologous
chondrocytes implantation (ACI) in three-dimensional collagen scaffold.

Material and Method: A patient with grade 3-4 according to ICRS (International Cartilage Repair Society)
Classification System was performed ACI with three-dimensional collagen scaffold. The two-stage procedure
was performed. First, the cartilage was arthroscopic harvested. The chondrocytes were isolated in the laboratory.
Second, the chondrocytes were re-implanted into the defects using three-dimensional collagen scaffold. The
patients were clinically evaluated pre-operatively and post operatively and magnetic resonance imaging.
The duration of follow-up was 12 months.

Results: There was no post operative complication. The clinical evaluations were excellent. The MRI showed
the hyaline-like cartilage tissue formation at the defects.

Conclusion: The autologous chondrocytes implantation with three-dimensional collagen scaffold showed
the excellent outcome. Long-term follow-up is required.

Keywords: Knee injury, Autologous chondrocytes implantation, Cartilage defects, Collagen scaffold

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