title: Arthroscopic meniscal allograft transplantation without bone plugs.
abstract: Partial or total meniscectomy are common procedures performed at Orthopedic Surgery departments. Despite providing a great relief of pain, it has been related to early onset knee osteoarthritis. Meniscal allograft transplantation has been proposed as an alternative to meniscectomy. The purposes of this study were to describe an arthroscopic meniscal allograft transplantation without bone plugs technique and to report the preliminary results. All meniscal allograft transplantations performed between 2001 and 2006 were approached for eligibility, and a total of 35 patients (involving 37 menisci) were finally engaged in the study. Patients were excluded if they had ipsilateral knee ligament reconstruction or cartilage repair surgery before meniscal transplantation or other knee surgeries after the meniscal transplantation. Scores on Lysholm, Subjective IKDC Form, and Visual Analogue Scale (VAS) scale for pain were obtained at a mean follow-up of 38.6 months and compared to pre-operative data. Data on chondral lesions were obtained during the arthroscopic procedure and through imaging (radiographs and MRI) studies pre-operatively. Two graft failures out of 59 transplants (3.4%) were found. Daily life accidents were responsible for all graft failures. Significant improvements for Lysholm, Subjective IKDC Form, and VAS for pain scores following the meniscal allograft transplantation were found (P < 0.0001). Controlling for chondral lesion, there was no significant interactions for Lysholm (n.s.), Subjective IKDC Form (n.s.), and VAS for pain scores (n.s.). This study demonstrated that an arthroscopic meniscal allograft transplantation without bone plugs improved knee function and symptoms after a total meniscectomy. Improvements were observed independently of the degree of chondral lesion.
authors.affiliation: Artroscopia G.C., Hospital Quirón, plaza Alfonso Comín 5-7, 08023, Barcelona, Spain.
authors.forename: Eduard
authors.initials: E
authors.lastname: Alentorn-Geli
authors.forename: Roberto
authors.initials: R
authors.lastname: Seijas Vázquez
authors.forename: Montserrat
authors.initials: M
authors.lastname: García Balletbó
authors.forename: Pedro
authors.initials: P
authors.lastname: Álvarez Díaz
authors.forename: Gilbert
authors.initials: G
authors.lastname: Steinbacher
authors.forename: Xavier
authors.initials: X
authors.lastname: Cuscó Segarra
authors.forename: Marta
authors.initials: M
authors.lastname: Rius Vilarrubia
authors.forename: Ramón
authors.initials: R
authors.lastname: Cugat Bertomeu
mesh_terms: D000328:Adult; D064591:Allografts; D001182:Arthroscopy; D016025:Bone Transplantation; D005500:Follow-Up Studies; D006801:Humans; D007718:Knee Injuries / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery*; D008592:Menisci, Tibial / Q000601:surgery*; D008875:Middle Aged; D020127:Recovery of Function; D000070600:Tibial Meniscus Injuries; D014184:Transplantation, Homologous; D055815:Young Adult
references.citation: J Bone Joint Surg Am. 2000 Aug;82(8):1071-82
references.pmid: 10954095
references.citation: Arthroscopy. 1987;3(1):13-8
references.pmid: 3566890
references.citation: Sports Med Arthrosc Rev. 2007 Sep;15(3):121-5
references.pmid: 17700371
references.citation: Arthroscopy. 1996 Apr;12(2):174-81
references.pmid: 8776994
references.citation: Am J Sports Med. 1992 Nov-Dec;20(6):644-56
references.pmid: 1456358
references.citation: Z Orthop Ihre Grenzgeb. 1997 Mar-Apr;135(2):131-7
references.pmid: 9214171
references.citation: Am J Sports Med. 2001 Mar-Apr;29(2):246-61
references.pmid: 11292055
references.citation: Arthroscopy. 1986;2(1):14-20
references.pmid: 3513789
references.citation: J Bone Joint Surg Am. 2006 Mar;88 Suppl 1 Pt 1:109-18
references.pmid: 16510805
references.citation: Am J Sports Med. 1997 Sep-Oct;25(5):692-8
references.pmid: 9302479
references.citation: Am J Sports Med. 1985 Nov-Dec;13(6):408-14
references.pmid: 4073349
references.citation: J Bone Joint Surg Am. 1983 Feb;65(2):193-7
references.pmid: 6337161
references.citation: J Bone Joint Surg Br. 1948 Nov;30B(4):664-70
references.pmid: 18894618
references.citation: Arthroscopy. 2002 Nov-Dec;18(9):989-94
references.pmid: 12426542
references.citation: Arthroscopy. 1986;2(2):77-81
references.pmid: 3755343
references.citation: Ann R Coll Surg Engl. 2009 Jul;91(5):361-5
references.pmid: 19409145
references.citation: Arthroscopy. 2000 May-Jun;16(4):343-7
references.pmid: 10802470
references.citation: J Bone Joint Surg Am. 1983 Feb;65(2):239-46
references.pmid: 6337163
references.citation: Arthroscopy. 1995 Dec;11(6):684-7
references.pmid: 8679029
references.citation: Arthroscopy. 2007 May;23(5):503-8
references.pmid: 17478281
references.citation: Knee Surg Sports Traumatol Arthrosc. 2007 May;15(5):476-92
references.pmid: 17333124
references.citation: Arthroscopy. 1997 Aug;13(4):485-91
references.pmid: 9276056
references.citation: Am J Sports Med. 1993 Jul-Aug;21(4):540-50
references.pmid: 8368415
references.citation: Int Orthop. 1989;13(1):1-11
references.pmid: 2722311
references.citation: J Bone Joint Surg Am. 2005 Apr;87(4):715-24
references.pmid: 15805198
references.citation: Clin Orthop Relat Res. 2007 Feb;455:142-57
references.pmid: 17279042
references.citation: Arthroscopy. 2006 Jul;22(7):771-80
references.pmid: 16843814
references.citation: Am J Sports Med. 1999 May-Jun;27(3):320-8
references.pmid: 10352767
references.citation: Am J Sports Med. 2001 Jul-Aug;29(4):410-4
references.pmid: 11476377
references.citation: Bull NYU Hosp Jt Dis. 2008;66(1):22-6
references.pmid: 18333824
references.citation: Am J Sports Med. 1986 Sep-Oct;14(5):376-9
references.pmid: 3096157
references.citation: Clin Orthop Relat Res. 1978 Mar-Apr;(131):294-8
references.pmid: 657638
references.citation: Arthroscopy. 2004 Sep;20(7):728-43
references.pmid: 15346115
references.citation: Arthroscopy. 1994 Jun;10(3):324-7
references.pmid: 8086031
references.citation: Clin Orthop Relat Res. 1983 Jan-Feb;(172):148-53
references.pmid: 6821984
references.citation: Arthroscopy. 2006 May;22(5):469-78
references.pmid: 16651154
references.citation: J Bone Joint Surg Br. 1980 Aug;62(3):397-402
references.pmid: 6893331
references.citation: Knee Surg Sports Traumatol Arthrosc. 2003 May;11(3):173-82
references.pmid: 12739011
references.citation: Acta Orthop Scand. 1993 Jun;64(3):329-32
references.pmid: 8322592
references.citation: J Orthop Res. 2003 May;21(3):459-64
references.pmid: 12706018
references.citation: Am J Sports Med. 2003 Nov-Dec;31(6):896-906
references.pmid: 14623655
references.citation: Arthroscopy. 1991;7(1):57-62
references.pmid: 2009121
references.citation: Am J Sports Med. 1983 May-Jun;11(3):131-41
references.pmid: 6688156
references.citation: J Bone Joint Surg Br. 1995 Jul;77(4):589-95
references.pmid: 7615604
references.citation: Am J Sports Med. 2002 Jan-Feb;30(1):74-82
references.pmid: 11799000
references.citation: Biomed Mater Eng. 1993 Winter;3(4):211-21
references.pmid: 8205062
references.citation: J Bone Joint Surg Br. 2002 Mar;84(2):227-31
references.pmid: 11924652
references.citation: J Biomech Eng. 1983 Aug;105(3):216-25
references.pmid: 6688842
references.citation: Clin Sports Med. 2009 Apr;28(2):259-83, viii
references.pmid: 19306734
references.citation: Ann Surg. 1909 Dec;50(6):969-1001
references.pmid: 17862467
references.citation: Arthroscopy. 2007 Apr;23(4):388-93
references.pmid: 17418331
references.citation: Knee Surg Sports Traumatol Arthrosc. 2004 Mar;12(2):130-5
references.pmid: 12756521
references.citation: Am J Sports Med. 2002 Mar-Apr;30(2):174-81
references.pmid: 11912084
references.citation: J Bone Joint Surg Am. 2004 Jul;86(7):1392-404
references.pmid: 15252085
references.citation: Am J Sports Med. 1988 Mar-Apr;16(2):137-42
references.pmid: 3287957
references.citation: Knee Surg Sports Traumatol Arthrosc. 2006 Aug;14(8):694-706
references.pmid: 16463170
references.citation: Knee Surg Sports Traumatol Arthrosc. 2000;8(3):159-62
references.pmid: 10883427