Abstract
Meniscal allograft transplantation (MAT) techniques continue to evolve. The common goal is to reproduce the function of the meniscus. To accomplish this goal, it is necessary to match the size of the meniscus allograft to patient’s original meniscus size, place the allograft root insertions at the original attachment sites, and create secure fixation. It is the authors’ preference to perform MAT via a bony attachment technique. Laboratory studies show that bony attachments are superior biomechanically to soft tissue only; therefore two bony attachment techniques will be illustrated in this chapter: bone bridge in channel and bone plug in the tunnel/socket. These techniques allow for reproducible results reported by multiple authors. The challenge for the next generation is meniscal extrusion: is it the key to chondroprotection?
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References
Getgood A, LaPrade RF, Verdonk P, et al. International meniscus reconstruction experts forum (IMREF) 2015 consensus statement on the practice of meniscal allograft transplantation. Am J Sports Med. 2017;45(5):1195–205.
Ode GE, Van Thiel GS, McArthur SA, et al. Effects of serial sectioning and repair of radial tears in the lateral meniscus. Am J Sports Med. 2012;40(8):1863–70.
Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop Relat Res. 1975;109:184–92.
Musahl V, Citak M, O’Loughlin PF, Choi D, Bedi A, Pearle AD. The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med. 2010;38(8):1591–7.
Lubowitz JH, Verdonk PC, Reid JB 3rd, Verdonk R. Meniscus allograft transplantation: a current concepts review. Knee Surg Sports Traumatol Arthrosc. 2007;15(5):476–92.
van Arkel ER, de Boer HH. Survival analysis of human meniscal transplantations. J Bone Joint Surg Br. 2002;84(2):227–31.
McDermott ID, Amis AA. The consequences of meniscectomy. J Bone Joint Surg Br. 2006;88(12):1549–56.
Farr J, Cole B, Dhawan A, Kercher J, Sherman S. Clinical cartilage restoration: evolution and overview. Clin Orthop Relat Res. 2011;469(10):2696–705.
Harris JD, Cavo M, Brophy R, Siston R, Flanigan D. Biological knee reconstruction: a systematic review of combined meniscal allograft transplantation and cartilage repair or restoration. Arthroscopy. 2011;27(3):409–18.
McDermott ID, Lie DT, Edwards A, Bull AM, Amis AA. The effects of lateral meniscal allograft transplantation techniques on tibio-femoral contact pressures. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. 2008;16(6):553–60.
Abat F, Gelber PE, Erquicia JI, Pelfort X, Gonzalez-Lucena G, Monllau JC. Suture-only fixation technique leads to a higher degree of extrusion than bony fixation in meniscal allograft transplantation. Am J Sports Med. 2012;40(7):1591–6.
Fu FH, Bennett CH, Ma CB, et al. Current trends in anterior cruciate ligament reconstruction. Part II. Operative procedures and clinical correlations. Am J Sports Med. 2000;28:124–30.
Dienst M, Greis PE, Ellis BJ, et al. Effect of lateral meniscal allograft sizing on contact mechanics of the lateral tibial plateau: an experimental study in human cadaveric knee joints. Am J Sports Med. 2007;35:34–42.
Teichtahl AJ, Davies-Tuck ML, Wluka AE, Jones G, Cicuttini FM. Change in knee angle influences the rate of medial tibial cartilage volume loss in knee osteoarthritis. Osteoarthr Cartil/OARS, Osteoarthr Res Soc. 2009;17(1):8–11.
Birmingham TB, Giffin JR, Chesworth BM, et al. Medial opening wedge high tibial osteotomy: a prospective cohort study of gait, radiographic, and patient-reported outcomes. Arthritis Rheum. 2009;61(5):648–57.
Van Thiel GS, Frank RM, Gupta A, et al. Biomechanical evaluation of a high tibial osteotomy with a meniscal transplant. J Knee Surg. 2011;24(1):45–53.
Milachowski KA, Weismeier K, Wirth CJ. Homologous meniscus transplantation. Experimental and clinical results. Int Orthop. 1989;13:1–11.
Garrett JC. Meniscal transplantation: a review of 43 cases with 2- to 7-year follow-up. Sports Med Arthrosc. 1993;1:164–7.
Noyes F, Barber-Westin S. Irradiated meniscus allografts in the human knee: a two to five year follow-up study. Orthopaedic. Transactions. 1995;19:417.
van Arkel ER, de Boer HH. Human meniscal transplantation. Preliminary results at 2 to 5-year follow-up. J Bone Joint Surg Br. 1995;77:589–95.
Goble E, Kane S, Wilcox T, Doucette S. Meniscal allografts. Operative arthroscopy. Philadelphia: Lippincott-Raven; 1996. p. 317–31.
Cameron JC, Saha S. Meniscal allograft transplantation for unicompartmental arthritis of the knee. Clin Orthop Relat Res. 1997;337:164–71.
Carter T. Meniscal allograft transplantation. Sports Med Arthrosc Rev. 1999;7:51–62.
Rodeo SA. Meniscal allografts–where do we stand? Am J Sports Med. 2001;29:246–61.
Rath E, Richmond JC, Yassir W, et al. Meniscal allograft transplantation. Two- to eight-year results. Am J Sports Med. 2001;29:410–4.
Verdonk PCM, Demurie A, Almqvist KF, et al. Transplantation of viable meniscal allograft. Survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am. 2005;87:715–24.
Cole BJ, Dennis MG, Lee SJ, et al. Prospective evaluation of allograft meniscus transplantation: a minimum 2-year follow-up. Am J Sports Med. 2006;34:919–27.
Noyes FR, Barber-Westin SD. Meniscal transplantation in symptomatic patients under fifty years of age: survivorship analysis. J Bone Joint Surg Am. 2015;97(15):1209–19.
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Getgood, A., Farr, J., Gomoll, A.H. (2018). Meniscal Allograft Transplantation Techniques. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, Cham. https://doi.org/10.1007/978-3-319-77152-6_27
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