Meniscal allograft transplantation.
Meniscal allograft transplantation has emerged as a treatment option for selected meniscus-deficient patients to restore normal meniscal function and forestall progressive joint degeneration. Contraindications include diffuse subchondral bone exposure, axial malalignment, and instability. However, a knee may be rendered suitable for meniscus transplantation if combined with chondral resurfacing, osteotomy, and/or ligament reconstruction. Although numerous studies have reported improved clinical outcomes with meniscal allograft transplantation, high-quality studies with control groups are lacking in the literature. This article describes the current indications, graft types and sizing, surgical techniques, and a review of the literature with a focus on the role of concomitant procedures.
Packer
Jonathan D
JD
Laboratory for Soft Tissue Research, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA.
Rodeo
Scott A
SA
D016118:Anterior Cruciate Ligament / Q000601:surgery; D002358:Cartilage, Articular / Q000293:injuries; D006801:Humans; D008592:Menisci, Tibial / Q000601:surgery* / Q000637:transplantation*; D010027:Osteotomy; D019651:Plastic Surgery Procedures / Q000379:methods / Q000534:rehabilitation; D014184:Transplantation, Homologous / Q000379:methods