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Meniscus transplantation

  • Cartilage Repair Techniques in the Knee (A Dhawan, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Understanding the structure and function of the meniscus is critical to understanding its role in overall knee joint function. Injury to, or removal of, meniscal tissue may be associated with articular cartilage wear, knee instability, and, ultimately, the progression of osteoarthritis. While every effort is made for preserving and/or repairing damaged meniscal tissue, in some cases, the meniscus is not amenable to repair after injury. For appropriately indicated patients with symptomatic meniscal deficiency, meniscus allograft transplantation is an excellent surgical solution aimed at reducing pain and improving function. Indications for meniscus allograft transplantation are limited, and concomitant procedures such as osteotomy for malalignment, ligamentous, and/or articular cartilage restoration may be necessary in order to ensure an optimal result following meniscus allograft transplantation. Surgical techniques for meniscus allograft transplantation are variable and include soft-tissue fixation versus bone plug fixation versus bone bridge fixation. Outcomes following meniscus allograft transplantation are generally good to excellent, though reoperation rates are relatively high. The purpose of this article is to provide a concise review of recently published data on meniscus allograft transplantation, with a focus on recent outcomes studies.

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Compliance with ethical standards

Conflict of interest

Dr. Brian Cole has received research support from Aesculap/B.Braun, Cytori, Medipost, the National Institutes of Health (NIAMS & NICHD), and Zimmer. He has also received royalties from Arthrex, Inc., DJ Orthopaedics, Elsevier Publishing, Saunders/Mosby-Elsevier, and Slack Incorporated. In addition, he has received other financial or material support from Athletico, Ossur, Smith & Nephew, and Tornier and has been given stock or stock options from Carticept and Regentis.

Dr. Rachel Frank has nothing to disclose.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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Correspondence to Rachel M. Frank.

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This article is part of the Topical Collection on Cartilage Repair Techniques in the Knee

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Frank, R.M., Cole, B.J. Meniscus transplantation. Curr Rev Musculoskelet Med 8, 443–450 (2015). https://doi.org/10.1007/s12178-015-9309-4

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  • DOI: https://doi.org/10.1007/s12178-015-9309-4

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