title: Arthroscopic Meniscal Allograft Transplantation With Soft-Tissue Fixation Through Bone Tunnels.
abstract: Meniscal allograft transplantation improves clinical outcomes for patients with symptomatic meniscus-deficient knees. We describe an established arthroscopic technique for meniscal allograft transplantation without the need for bone fixation of the meniscal horns. After preparation of the meniscal bed, the meniscus is parachuted into the knee through a silicone cannula and the meniscal horns are fixed with sutures through bone tunnels. The body of the meniscus is then fixed with a combination of all-inside and inside-out sutures. This technique is reliable and reproducible and has clinical outcomes comparable with those of bone plug fixation techniques.
authors.affiliation: University Hospitals Coventry and Warwickshire NHS Trust, Coventry, England.
authors.forename: Tim
authors.initials: T
authors.lastname: Spalding
authors.affiliation: Reef Orthopaedic Clinic, Cairns, Queensland, Australia.
authors.forename: Ben
authors.initials: B
authors.lastname: Parkinson
authors.affiliation: University of Warwick, Coventry, England.
authors.forename: Nick A
authors.initials: NA
authors.lastname: Smith
authors.affiliation: Antwerp Orthopaedic Center, Antwerp, Belgium.
authors.forename: Peter
authors.initials: P
authors.lastname: Verdonk