Arthroscopically assisted medial meniscal allograft transplantation using a modified bone plug to facilitate passage: surgical technique.
This article describes a novel medial meniscal allograft transplantation method that permits easy passage of posterior bone plugs and facilitates bone-to-bone healing. With this method, an anterior bone plug with a long cylindrical shape is prepared, and the posterior bone plug is prepared using only a 2-mm deep, flat bone shell containing cancellous material with 6 baseball Ethibond stitches placed around it. The graft is divided into 3 portions, and boundaries of each are marked. Using a posteromedial portal, the posterior bony bed is prepared directly, and the exact anatomic location is visualized. This modified method facilitates graft passage as well as bone-to-bone healing.
Kim
Jin Goo
JG
Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University, Seoul, Korea.
Lee
Yong Seuk
YS
Lee
Soo Won
SW
Kim
Young Jae
YJ
Kong
Doo Hwan
DH
Ko
Min Soo
MS
D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D008592:Menisci, Tibial / Q000601:surgery* / Q000637:transplantation*; D008875:Middle Aged; D011093:Polyethylene Terephthalates; D016059:Range of Motion, Articular; D013536:Suture Techniques; D013537:Sutures; D000070600:Tibial Meniscus Injuries; D014184:Transplantation, Homologous; D016896:Treatment Outcome
C014534:Ethibond; D011093:Polyethylene Terephthalates