Fig 5C10 Incomplete Filling of Autologous Chondrocyte Implantation

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Click the link to purchase on Amazon 🎉📚 • [Visualizing MSK Radiology: A Practical Guide to Radiology Mastery] • ⬇️✨⬇️🎉⬇️🔥⬇️📚⬇️ • https://www.amazon.com/dp/B0DJGMHMFS • ============================================== • 🎥 Check Out All Videos at Once! 📺 • 👉 Visit Visualizing MSK Blog to explore a wide range of videos! 🩻 • https://visualizingmsk.blogspot.com/?... • • 📚 You can also find them on MSK MRI Blog and Naver Blog! 📖 • https://mskmri.tistory.com/ • https://blog.naver.com/mskmri • / msk_mri • Click to stay updated with the latest content! 🔍✨ • ============================================== • 📌 Common Complications Post-Autologous Chondrocyte Implantation (ACI) • Three primary complications are typically observed on MRI following ACI: • ✅ Graft Hypertrophy: • This occurs when the repair tissue is thicker than the native cartilage, reported in 10 to 63% of cases. • Although often asymptomatic, severe hypertrophy can cause symptomatic catching and may require resection. • Kreuz et al. found that all patients with high-grade hypertrophy needed revision shaving. • ✅ Graft Failure: • Assessment of graft incorporation is based on tissue continuity between the graft and host cartilage. • Issues such as fissuring at the interface, fluid between graft and host bone, and subchondral cyst formation indicate incomplete integration or failure of the graft. • Manifested as a full-thickness defect or absence of the graft. • Degeneration, fraying, and delamination may also occur, potentially necessitating revision or repair. • ✅ Arthrofibrosis: • Reported in 5 to 10% of cases, this is seen as a dark signal band in Hoffa’s fat pad or focal thickening of the joint capsule, leading to clinical restriction. • It is more common in patients with extensive surgical histories and can be diagnosed clinically or via MRI. • • ✅ MOCART 2.0 Knee Score • The MOCART 2.0 knee score is an updated version of the original MOCART score, reflecting advancements in surgical treatments for cartilage defects and their MRI appearances. • Volume Fill of Cartilage Defect: • Complete filling or minor hypertrophy (100% to 150%): 20 points • Major hypertrophy (greater than 150%) or 75% to 99% filling: 15 points • 50% to 74% filling: 10 points • 25% to 49% filling: 5 points • less than 25% filling or complete delamination in situ: 0 points • References • Semin Musculoskelet Radiol 2011;15:69–88 • J Clin Orthop Trauma. 2021 Sep 25;22:101610 • Visualizing MSK Radiology: A Practical Guide to Radiology Mastery • © 2022 MSK MRI Jee Eun Lee All Rights Reserved. • No unauthorized reproduction, redistribution, or use for AI training. • #AutologousChondrocyteImplantation, #CartilageRepair, #GraftHypertrophy, #GraftFailure, #Arthrofibrosis, #MOCARTScore, #KneeMRI, #OrthopedicSurgery, #CartilageDefects, #SportsMedicine

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