Autograft meniscus replacement: Experimental and clinical results

ESSKA day-Paris


Because of the risks related to allograft meniscus replacement an attempt was made to replace the medial meniscus by autograft tissue. In animal experiments the free middle third of the patellar tendon was transformed to a meniscus-like structure within one year after insertion. Early arthroscopic results after autograft meniscus replacement in a clinical series comprising 20 patients are promising.

Key words

Meniscus Autograft Fat pad Patellar tendon Quadriceps tendon 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bullough PG, Munuera L, Murphy J, Weinstein AM (1970) The strength of the menisci of the knee as it relates to their fine structure. J Bone Joint Surg [Br] 52: 564–570Google Scholar
  2. 2.
    Fairbank JT (1948) Knee joint changes after menisectomy. J Bone Joint Surg [Br] 30: 664–670Google Scholar
  3. 3.
    Garret JC (1991) Meniscal transplantation in the human knee: a preliminary report. Arthroscopy 7: 57–62PubMedGoogle Scholar
  4. 4.
    Jackson DW, Arnoczky SP, Shapiro DJ (1992) Considerations for meniscal transplant classification and reporting. In: Mow C Van, Arnoczsky SP, Jackson DW (eds) Knee meniscus. Raven Press. New York, pp 175–182Google Scholar
  5. 5.
    Kohn D, Wirth CJ, Reiss G, Plitz W, Mascheck H, Erhardt W, Wülker N (1992) Medical meniscus replacement by a tendon autograft. J Bone Joint Surg [Br] 74: 910–917Google Scholar
  6. 6.
    Krause W, Pope MH, Johnson RJ, Wilder DG (1976) Mechanical changes in the knee after menisectomy. J Bone Joint Surg [Am] 58: 599–604Google Scholar
  7. 7.
    Lanzer WL, Komenda G (1990) Changes in articular cartilage after menisectomy. Clin Orthop 252: 49–54PubMedGoogle Scholar
  8. 8.
    Lexer E (1931) Die gesamte Wiederherstellungschirurgie, Band 2 Barth, LeipzigGoogle Scholar
  9. 9.
    Lutfi AM (1975) Morphological changes in the articular cartilage after menisectomy. J Bone Joint Surg [Br] 57: 525–528Google Scholar
  10. 10.
    McDevitt CA, Webber RJ (1990)_The ultrastructure and biochemistry of meniscal cartilage. Clin Orthop 252: 8–18PubMedGoogle Scholar
  11. 11.
    Milachowski KA, Weismeier K, Wirth CJ, Kohn D (1988) Meniscus transplantation-experimental study, clinical report arthroscopic findings. In: Müller W, Hockenbruch W (eds) Surgery and arthroscopy of the knee. Springer, Berlin Heidelberg New York, pp 380–399Google Scholar
  12. 12.
    Shrive NG, O'Connor JJ, Goodfellow JW (1978) Load-bearing in the knee joint. Clin Orthop 131: 279–287PubMedGoogle Scholar
  13. 13.
    Sommerlath K, Gillquist J (1992) Replacement of the medial rabbit meniscus with different artifical substitutes. Trans Orthop Res Soc 17: 624Google Scholar
  14. 14.
    Stone KR, Rodkey W, Webber RJ, McKinney L, Steadman JR (1990) Future directions. Clin Orthop 252: 129–135PubMedGoogle Scholar
  15. 15.
    Tapper EM, Hoover NW (1969) Late results after menisectomy. J Bone Joint Surg [Am] 51: 517–526Google Scholar
  16. 16.
    Wirth CJ, Kohn D, Milachowski KA (1919) Meniscus transplantation in knee joint instability. Am J Sports Med 19: 554Google Scholar

Copyright information

© Springer-Verlag 1993

Authors and Affiliations

  • D. Kohn
    • 1
  1. 1.Hannover Medical SchoolOrthopaedic HospitalHannoverGermany

Personalised recommendations