Operative Techniques in Orthopaedics
Volume 16, Issue 4 , Pages 262-265, October 2006

Matrix-Induced Autologous Chondrocyte Implantation

  • A.J. Gibson, BSc, MBBS, MRCS(Eng)

      Affiliations

    • Nuffield Orthopaedic Centre, Oxford, United Kingdom.
  • ,
  • S.M. McDonnell, BSc, MBBS, MRCS(Eng)

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Oxford, United Kingdom.
  • ,
  • A.J. Price, MB, BChir, MA, DPhil, FRCS(Orth)

      Affiliations

    • Nuffield Department of Orthopaedic Surgery, University of Oxford, Nuffield Orthopaedic Centre, Oxford, United Kingdom.
    • Corresponding Author InformationAddress reprint requests to A.J. Price, MB, BChir, MA, DPhil, FRCS(Orth) Clinical Lecturer & Hon. Consultant, Nuffield Department of Orthopaedic Surgery, Nuffield Orthopaedic Centre, Headington, Oxford OX3 7LD, United Kingdom.

Matrix-induced autologous chondrocyte implantation is a third-generation autologous chondrocyte implantation technique that can be used for treating chondral and osteochondral lesions. Harvested chondrocytes are expanded in number and seeded onto a type I/III collagen membrane. The matrix-induced autologous chondrocyte implantation graft is secured within the debrided defect with fibrin sealant, which produces a stable reconstruction. Most clinical experience relates to its use in the knee joint, where a number of series report good clinical outcome up to 5 years postsurgery.

Keywords: matrix-induced autologous chondrocyte implantation (MACI), chondrocyte, osteochondral defect, surgical technique, outcome

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PII: S1048-6666(06)00083-8

doi:10.1053/j.oto.2006.09.004

Operative Techniques in Orthopaedics
Volume 16, Issue 4 , Pages 262-265, October 2006