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Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 23, Issue 1, pp 258–263 | Cite as

Lateral meniscus allograft transplantation using a single-incision technique

  • Ki-Mo Jang
  • Joon Ho WangEmail author
Knee

Abstract

Purpose

The aim of this work is to introduce and evaluate a novel arthroscopically assisted meniscus allograft transplantation (MAT) technique that requires only one small anterior incision for an arthrotomy.

Methods

In the novel technique, the posterior horn of the allograft meniscus was repaired using the modified all-inside suture technique instead of the conventional inside-out technique. By doing this, an additional posterior incision could be avoided. Thirteen consecutive patients with total or subtotal meniscectomy of the lateral meniscus underwent lateral MAT using the novel technique from August 2010 to October 2011. The clinical outcomes were evaluated according to Lysholm scores, International Knee Documentation Committee (IKDC) subjective scores, and Tegner activity level scales.

Results

The median follow-up period was 21.0 months (range 13–28 months). The post-operative median Lysholm score improved to 85.0 (range 77–95, P < 0.05). The median IKDC subjective score was 80.0 (range 63–99, P < 0.05) at last follow-up. The median Tegner activity level of 6.0 (range 4–7) was improved compared with the median preoperative level (P < 0.05). None of the patients presented with symptoms requiring a secondary surgical procedure at the time of final follow-up.

Conclusion

The novel method requires only one small arthrotomy incision except for arthroscopic portals. In addition to the minimal number of incisions, this technique has several advantages over previous techniques. This single-incision technique could be effective and satisfactory option for lateral MAT.

Level of evidence

Case series with no comparison group, Level IV.

Keywords

Meniscus allograft transplantation Arthroscopy Modified all-inside suture Single-incision technique 

Notes

Conflict of interest

None of the authors or the departments with which they are affiliated have received compensation from or own stock in a commercial company or institution related directly or indirectly to the subject of this article.

Supplementary material

Supplementary material 1 (AVI 36977 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Department of Orthopaedic Surgery, Samsung Medical CenterSungkyunkwan University School of MedicineSeoulSouth Korea

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