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Review
. 2019 Apr 25;4(4):115-120.
doi: 10.1302/2058-5241.4.180052. eCollection 2019 Apr.

Meniscus allograft transplantation: indications, techniques and outcomes

Francisco Figueroa  1   2 , David Figueroa  1 , Rafael Calvo  1 , Alex Vaisman  2   3 , João Espregueira-Mendes  4   5   6
Affiliations
Review

Meniscus allograft transplantation: indications, techniques and outcomes

Francisco Figueroa et al. EFORT Open Rev. .

Abstract

New indications for meniscal allograft transplantation (MAT) are being added, but the general expert opinion is that it is still a procedure reserved for symptomatic meniscal loss.Lateral MAT has better clinical outcomes and less failure risk compared to medial MAT.Ideal conditions (low-grade chondral lesions) make MAT a more survivable and successful procedure.Meniscal extrusion after MAT is common and does not seem to alter results.Midterm survivorship of a MAT is reported to be 85-90%, while long-term survivorship decreases to 50-70% depending on chondral status and concomitant procedures.Even if the procedure is a success, there are high possibilities of not being able to resume sports activities. Cite this article: EFORT Open Rev 2019;4:115-120. DOI: 10.1302/2058-5241.4.180052.

Keywords: MAT; allograft; meniscal; menisectomy; post-menisectomy syndrome; transplantation.

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Conflict of interest statement

ICMJE Conflict of interest statement: DF has a paid consultancy with Stryker and receives payment for lectures including service on speakers bureaus, and payment for development of educational presentations from Stryker and Smith and Nephew. RC has a paid consultancy with Stryker and receives payment for development of educational presentations from Smith and Nephew.

Figures

Fig. 1
Fig. 1
Antero-posterior X-ray showing the Pollard method to size the graft (line parallel to the joint line).
Fig. 2
Fig. 2
Lateral X-ray showing the Pollard method to size the graft (line parallel to the joint line).
Fig. 3
Fig. 3
Suture only fixation.
Fig. 4
Fig. 4
Coronal MRI showing a medial MAT fixed with transtibial sutures.
Fig. 5
Fig. 5
Keyhole technique.
Fig. 6
Fig. 6
Keyhole technique preparation.
See this image and copyright information in PMC

References

    1. Trentacosta N, Graham WC, Gersoff WK. Meniscal allograft transplantation: state of the art. Sports Med Arthrosc Rev 2016;24:e23–e33. - PubMed
    1. Englund M. The role of the meniscus in osteoarthritis genesis. Rheum Dis Clin North Am 2008;34:573–579. - PubMed
    1. Stone KR, Pelsis JR, Surrette ST, Walgenbach AW, Turek TJ. Meniscus transplantation in an active population with moderate to severe cartilage damage. Knee Surg Sports Traumatol Arthrosc 2015;23:251–257. - PubMed
    1. Lee BS, Bin SI, Kim JM, Kim WK, Choi JW. Survivorship after meniscal allograft transplantation according to articular cartilage status. Am J Sports Med 2017;45:1095–1101. - PubMed
    1. Jiang D, Ao YF, Gong X, Wang YJ, Zheng ZZ, Yu JK. Comparative study on immediate versus delayed meniscus allograft transplantation: 4- to 6-year follow-up. Am J Sports Med 2014;42:2329–2337. - PubMed

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