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Review
. 2025 Sep 1;33(3):113-124.
doi: 10.1097/JSA.0000000000000430. Epub 2025 Mar 10.

Meniscus Allograft Transplantation

Guillermo Araujo-Espinoza  1 , Rachel J Patel  2   3 , Nicholas Bertha  1 , Evan H Richman  1 , Daniel J Stokes  1 , Rachel M Frank  1
Affiliations
Review

Meniscus Allograft Transplantation

Guillermo Araujo-Espinoza et al. Sports Med Arthrosc Rev. .

Abstract

Meniscus allograft transplantation restores knee function and alleviates pain in symptomatic patients with irreparable meniscus loss, particularly in younger individuals without advanced arthritis. Surgical techniques such as bone bridge, bone plug, and all-soft tissue aim to replicate native meniscus root attachments for optimal biomechanical restoration and graft stability. Clinical outcomes and return to sport rates are generally quite favorable, with no clear advantage of one technique over the others. Debate continues about proper methods for tissue processing, sizing, and rehabilitation protocols; ultimately, the choice often relies on the surgeon's preference and graft availability.

Keywords: allograft; knee; meniscus; meniscus allograft transplantation; return to sports; sports medicine.

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Conflict of interest statement

Disclosure: R.M.F. reports a relationship with AAOS, AOSSM, ASES, AANA, ICRS, ISAKOS, JSES, and Orthopedics Today that includes: board membership. R.M.F. reports a relationship with AlloSource, Arthrex, and JRF Ortho that includes consulting or advisory fees. R.M.F. reports a relationship with AlloSource, Arthrex, JRF Ortho, and Ossur that includes speaking and lecture fees. R.M.F. reports a relationship with Arthrex that includes research support. The remaining authors declare no conflict of interest.

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