Cost of Autologous Chondrocyte Implantation (ACI) in Germany
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Frequently Asked Questions Related to Autologous Chondrocyte Implantation (ACI) Cost
The package typically includes the cost of the tests too. The common ones before an autism stem cell treatment include blood tests such as CBC, Viral markers, LFT and KFT. Some of the other test conducted before autologus chondrocyte implantation includes X ray and MRI scan.
All medicines in the time frame that the patient is at the hospital are covered in the package. Medicines taken for recovery are usually not covered in the package price.
ACI involves two separate surgical procedures: arthroscopy followed byan arthrotomy. The first procedure is a minimally invasive arthroscopic assessment of the kneejoint performed as an outpatient. The area of defect is measured and articular cartilage is harvested from a non-weight-bearing surface for cartilage cell culturing. The post treatment expenses are included in the package. You have to follow some precautions such as keeping your leg elevated at minimum 45 degree angle for three to five days, initially for first few weeks you have to walk on crutches.
After Autologus chondrocyte implantation patient is called for follow up after regularly. You can go home even after the next day of the surgery or after two to three days depending on the cost. The cost of the hospital stay is included in the package. You have to continuously do exercises so that your legs doesn’t become stiff.
This is a medical condition the cost are included in the health insurance. But you can check with your health care provider for it.
You can choose from a variety of procedures microfracture, mosaicplasty, or large allograft implantation.
Everything You Need to Know About Autologous Chondrocyte Implantation (ACI): Q&A
Before the Procedure · 3 Questions
Autologus chondrocyte implantation is the new state of art procedure which is used in the treatment of isolated full thickness and articular cartilage defect of knee. This is been used to treat the defect of patella along with the other joints of the body.
ACl is being used when there is damage to the cartilage and bone which can cause joint pain, limited mobility and sometimes osteoarthritis. This process is also appropriate for those patients with small area of cartilage. It is mainly considered if:
- Focal area of cartilage damage is seen
- Pain or swelling
- A stable knee with no associated ligament damage
- Weight appropriate for height
According to studies ACL implantation lasts for 10-20 year with good recovery of the patient in managing their life.
During the Procedure · 3 Questions
Autologus chondrocyte implantation surgery is being done by an orthopedic surgeon.
Autologous chondrocyte implantation is a two-stage operative procedure. The first procedure is performed arthroscopically in less than 30 minutes then a small piece of articular cartilage from the patient's knee, typically the size of one or two.
ACI is a two-stage procedure first arthroscopic assessment of the chondral injury is done and biopsy is done to harvest approximately 200 to 300 mg of cartilage, followed by a commercial enzymatic digestion and cell expansion in monolayer culture with cryopreservation of the cells.
Post the Procedure · 3 Questions
Pain, swelling and bruising are very normal after ACL surgery applying ice can be a relief and elevating the affected legs on pillow will also help. You should place two pillows on your foot or ankle and not below your knees.
You should immediately contact your doctor if you have high fever above 100 degree, excessive bleeding, lot of pain or swelling in the calf and infection.
After ACL surgery patient needs to take 8 weeks off so that the new cells can mature. In starting few weeks patient has to use crutches. There may be weight bearing restrictions for six to eight weeks and after three to six months you can increase the load and intensity of your training.
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