Meniscal Augmentation and Replacement (Menaflex, Actifit, and NUsurface)

  • Aad Alfons Maria Dhollander
  • Vincenzo CondelloEmail author
  • Vincenzo Madonna
  • Marco Bonomo
  • Peter Verdonk


In the last decades, the surgical treatment of meniscal injury or damage has shifted from a total meniscectomy to a partial meniscectomy or repair. Rather than a removal of meniscal tissue, the goal of novel surgical techniques is to preserve as much functional meniscal tissue as possible. Recently, attempts have been made to promote meniscal healing, as well as the replacement of damaged menisci with allografts, scaffolds, meniscal implants, or substitutes. This chapter will focus on meniscal augmentation and on three types of meniscal replacement devices. These substitutes are the biological Menaflex™ or collagen meniscal implant (CMI), the biomimetic Actifit™ meniscal scaffold, and the nonbiological NUsurface® meniscal substitute.


Meniscus Menaflex™ CMI Actifit™ NUsurface™ Scaffold Meniscus Augmentation Meniscus implant Meniscus substitute 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Aad Alfons Maria Dhollander
    • 1
  • Vincenzo Condello
    • 2
    Email author
  • Vincenzo Madonna
    • 2
  • Marco Bonomo
    • 2
  • Peter Verdonk
    • 3
    • 4
  1. 1.Department of Orthopedic Surgery and TraumatologyAZ KLINABrasschaatBelgium
  2. 2.Department of Orthopedics and TraumatologySacro Cuore-Don Calabria HospitalNegrar (Verona)Italy
  3. 3.Antwerp Orthopedic Center, Monica HospitalsAntwerpBelgium
  4. 4.Department of Orthopedic Surgery, Antwerp University HospitalAntwerpBelgium

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