Patient Experiences of Recovery After Autologous Chondrocyte Implantation: A Qualitative Study.
BACKGROUND
The recovery process after autologous chondrocyte implantation (ACI) can be challenging for patients and clinicians alike due to significant functional limitations and a lengthy healing time. Understanding patients' experiences during the recovery process may assist clinicians in providing more individualized care.


OBJECTIVE
To explore and describe patients' experiences during the recovery process after ACI.


METHODS
Qualitative study.


METHODS
Orthopaedic clinic.


METHODS
Participants from a single orthopaedic practice who had undergone ACI within the previous 12 months were purposefully selected.


METHODS
Volunteers participated in 1-on-1 semistructured interviews to describe their recovery experiences after ACI. Data were analyzed using the process of horizontalization.


RESULTS
Seven patients (2 men, 5 women; age = 40.7 ± 7.5 years, time from surgery = 8.7 ± 4.2 months) participated. Four themes and 6 subthemes emerged from the data and suggested that the recovery process is a lengthy and emotional experience. Therapy provides optimism for the future but requires a collaborative effort among the patient, surgeon, rehabilitation provider, and patient's caregiver(s). Furthermore, patients expressed frustration that their expectations for recovery did not match the reality of the process, including greater dependence on caregivers than expected.


CONCLUSIONS
Patients' expectations should be elicited before surgery and managed throughout the recovery process. Providing preoperative patient and caregiver education and encouraging preoperative rehabilitation can assist in managing expectations. Establishing realistic goals and expectations may improve rehabilitation adherence, encourage optimism for recovery, and improve outcomes in the long term.
Athletic Training Education Program, Department of Health and Sport Sciences, Salisbury University, MD.
Jenny L
JL
Toonstra
Dana
D
Howell
Division of Physical Therapy, University of Kentucky, Lexington.
Robert A
RA
English
Department of Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington.
Christian
C
Lattermann
Carl G
CG
Mattacola
D000222:Adaptation, Physiological; D000328:Adult; D002358:Cartilage, Articular / Q000293:injuries / Q000601:surgery*; D019902:Chondrocytes / Q000637:transplantation*; D004644:Emotions; D005260:Female; D006801:Humans; D007718:Knee Injuries / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000379:methods; D017060:Patient Satisfaction; D026741:Physical Therapy Modalities / Q000523:psychology*; D036301:Qualitative Research
cartilage; knee joint; patient expectations; qualitative study; rehabilitation