Conclusion
ACT is a treatment for symptomatic, full-thickness, chondral and osteochondral lesions of the knee, which is able to produce a hyaline-like repair tissue and restore knee function. It is possible to return to football and other high-level competitive sports; 83% of players could return to football if the operation was within 12 months after injury. If the player can comply with the rehabilitation period of 12–15 months, it seems that ACT as the primary treatment gives best options for return to football with durable results.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Noyes FR, Bassett RW, Grood ES, Butler DL (1980) Arthroscopy in acute traumatic hemarthrosis of the knee: incidence of anterior cruciate tears and other injuries. J Bone Joint Surg Am 62:687–695
Noyes FR, Matthews DS, Mooar PA, Grood ES (1983) The symptomatic anterior cruciate deficient knee: Part 1. The long-term functional disability in athletically active individuals. J Bone Joint Surg Am 65:163–174
Hjelle K, Solheim E, Strand T et al (2002) Articular cartilage defects in 1000 knee arthroscopies. Arthroscopy 18:730–734
Drawer S, Fuller CW (2001) Propensity for osteoarthritis and lower limb joint pain in retired professional soccer players. Br J Sports Med 35:402–408
Levy AS, Lohnes J, Sculley S et al (1996) Chondral delamination of the knee in soccer players. Am J Sports Med 24:634–639
Steadman JR, Rodkey WG, Briggs KK (2002) Microfracture to treat full-thickness chondral defects. J Knee Surg 3:170–176
Hangody L, Füles P (2003) Autologous osteochondral mosaicplasty for the treatment of full-thickness defects of weight-bearing joints: Ten years of experimental and clinical experience. J Bone Joint Surg Am 85:25–32
Gudas R, Kalesinskas RJ, Kimtys V et al (2005) A prospective randomized clinical study of mosaic osteochondral autologous transplantation versus microfracture for the treatment of osteochondral defects in the knee joint in young athletes. Arthroscopy 21:1066–1075
Mithöfer K, Williams RJ, Warren R et al (2005) High-impact athletics after knee articular cartilage repair: A prospective evaluation of the microfracture technique. American Orthopaedic Society for Sports Medicine, Annual Meeting, Keystone (Iowa)
Peterson L, Brittberg M, Kiviranta I et al (2002) Autologous chondrocyte transplantation: Biomechanics and long-term durability. Am J Sports Med 30:2–12
Peterson L, Minas T, Brittberg M et al (2000) Two-to 9-year outcome after autologous chondrocyte transplantation of the knee. Clin Orthop Relat Res 374:212–234
Mithöfer K, Peterson L, Mandelbaum BR, Minas T (2005) Articular cartilage repair in soccer players with autologous chondrocyte transplantation: functional outcome and return to competition. Am J Sports Med 33:1639–1646
Bentley G, Biant LC, Carrington RW et al (2003) A prospective, randomized comparison of autologous chondrocyte implantation versus mosaicplasty for osteochondral defects in the knee. J Bone Joint Surg Br 85:223–230
Guillen Garcia P, Abelow S, Fernandez Jaen T (2003) Membrane/matrix autologous chondrocyte implantation. Presented at the UCSF Comprehensive Knee Cartilage Symposium: State of the art, San Francisco (California)
Marcacci M, Kon E, Zaffagnini S (2005) Tissue engineering of cartilage: 2nd generation autologous chondrocyte transplantation. Presented at the 5th Biennial ISAKOS Congress, Hollywood (Florida)
Nehrer S, Schatz K, Marlovits S et al (2002) Preliminary results of matrix-assisted chondrocyte transplantation using a hyaluronan martix. Presented at the ICRS Symposium, Toronto
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2006 Springer-Verlag Italia
About this chapter
Cite this chapter
Peterson, L., Ernest, C. (2006). Articular Cartilage Lesions in Football Players. In: Volpi, P. (eds) Football Traumatology. Springer, Milano . https://doi.org/10.1007/88-470-0419-5_23
Download citation
DOI: https://doi.org/10.1007/88-470-0419-5_23
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-0418-4
Online ISBN: 978-88-470-0419-1
eBook Packages: MedicineMedicine (R0)