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Meniscus Transplantation and Cartilage Resurfacing

Considerations, Indications, and Approach

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Cartilage Repair Strategies

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Abstract

Many knees with articular cartilage pathology have concomitant meniscus loss. I consider four structural factors when evaluating knees with meniscus and cartilage injury: (1) hyaline cartilage condition, (2) ligament stability, (3) lower extremity alignment, and (4) meniscus status. All of these factors need to be considered when evaluating a patient for cartilage repair. Surgical intervention for articular cartilage problems often involves addressing meniscus deficiency and malalignment. In this chapter, I discuss my rationale and approach to meniscus transplantation with concomitant osteotomy and cartilage resurfacing.

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References

  1. Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than 50 yr old. J Bone Joint Surg 2004;86A:1392–1404.

    Google Scholar 

  2. Van Arkel ERA, de Boer HH. Human meniscal transplantation. Preliminary results at 2-to 5-yr follow-up. J Bone and Joint Surg 1995;77B:589–595.

    Google Scholar 

  3. Allen CR, Wong EK, Livesay GA, Sakane M, Fu FH, Woo SL. Importance of the medial meniscus in the anterior cruciate ligament-deficient knee. J Orthop Res 2000;18:109–115.

    Article  PubMed  CAS  Google Scholar 

  4. Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg 1982;64A:883–888.

    Google Scholar 

  5. Papageorgiou CD, Gil JE, Kanamori A, Fenwick JA, Woo SL, Fu FH. The biomechanical interdependence between the anterior cruciate ligament replacement graft and the medial meniscus. Am J Sports Med 2001;29:226–231.

    PubMed  CAS  Google Scholar 

  6. Shelbourne KD, Gray T. Results of anterior cruciate ligament reconstruction based on meniscus and articular cartilage status at the time of surgery. Five-to 15-yr evaluations. Am J Sports Med 2000;28:446–452.

    PubMed  CAS  Google Scholar 

  7. Garrett JC. Meniscal transplantation: a review of 43 cases with 2-to 7-yr follow-up. Sports Med Arthrosc Rev 1993;1:164–167.

    Article  Google Scholar 

  8. Markolf KL, Kochan A, Amstutz HC. Measurement of knee stiffness and laxity in patients with documented absence of the anterior cruciate ligament. J Bone Joint Surg 1984;66A:242–253.

    Google Scholar 

  9. Rodeo SA Meniscal allografts-where do we stand? Am J Sports Med 2001;29:246–261.

    PubMed  CAS  Google Scholar 

  10. Cox JS, Nye CE, Schaefer WW, Woodstein IJ. The degenerative effects of partial and total resection of the medial meniscus in dogs’ knees. Clin Orthop Relat Res 1975;109:178–183.

    Article  PubMed  Google Scholar 

  11. Kurosawa H, Fukubayashi T, Nakajima H. Load-bearing mode of the knee joint: physical behavior of the knee joint with or without menisci. Clin Orthop Relat Res 1980;149:283–290.

    PubMed  Google Scholar 

  12. Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop Relat Res 1975; 109:184.

    Article  PubMed  Google Scholar 

  13. Li G, DeFrate LE, Park SE, Gill TJ, Rubash HE. In vivo articular cartilage contact kinematics of the knee: an investigation using dual-orthogonal fluoroscopy and magnetic resonance imagebased computer models. Am J Sports Med 2005;33:102–107.

    Article  PubMed  CAS  Google Scholar 

  14. Johnson RJ, Kettelkamp DB, Clark W, Leaverton P. Factors effecting late results after meniscectomy. J Bone Joint Surg 1974;56A:719–729.

    Google Scholar 

  15. Yocum LA, Kerlan RK, Jobe FW, et al. Isolated lateral meniscectomy. A study of 26 patients with isolated tears. J Bone Joint Surg 1979;61A:338–342.

    Google Scholar 

  16. Holden DL, James SL, Larson RL, Slocum DB. Proximal tibial osteotomy in patients who are 50 yr old or less. A long-term follow-up study. J Bone Joint Surg 1988;70:977–982.

    PubMed  CAS  Google Scholar 

  17. Cameron JC, Saha S. Meniscal allograft transplantation for unicompartmental arthritis of the knee. Clin Orthop Relat Res 1997;337:164–171.

    Article  PubMed  Google Scholar 

  18. Wickiewicz TL. Advantages of coronal plane osteotomy. Paper presented at: Interim Meeting of the American Orthopaedic Society for Sports Medicine; February 2005; Washington, DC.

    Google Scholar 

  19. Alhalki MM, Howell SM, Hull ML. How three methods for fixing a medial meniscal autograft affect tibial contact mechanics. Am J Sports Med 1999;27:320–328.

    PubMed  CAS  Google Scholar 

  20. Baumgarten KM, FeaLy S, Wickiewicz TL. The coronal plane high tibial osteotomy. Unpublished manuscript.

    Google Scholar 

  21. Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg 1948;3OB:664–670.

    Google Scholar 

  22. Thompson WO, Thaete FL, Fu FH, Dye SF. Tibial meniscal dynamics using three-dimensional reconstruction of magnetic resonance images. Am J Sports Med 1991;19:210–215.

    Article  PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Weill Medical College of Cornell University, New York, NY

    Scott A. Rodeo MD (Associate Professor of Orthopaedic Surgery, Associate Attending Orthopaedic Surgeon and Associate Scientist)

  2. Research Division, Hospital for Special Surgery, New York, NY

    Scott A. Rodeo MD (Associate Professor of Orthopaedic Surgery, Associate Attending Orthopaedic Surgeon and Associate Scientist)

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  1. Scott A. Rodeo MD
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Editor information

Editors and Affiliations

  1. Weill Medical College of Cornell University, USA

    Riley J. Williams III MD (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director) (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director)

  2. Institute for Cartilage Repair, Hospital for Special Surgery, New York, NY

    Riley J. Williams III MD (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director) (Associate Professor of Orthopaedic Surgery, Attending Orthopaedic Surgeon Director)

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© 2007 Humana Press Inc., Totowa, NJ

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Rodeo, S.A. (2007). Meniscus Transplantation and Cartilage Resurfacing. In: Williams, R.J. (eds) Cartilage Repair Strategies. Humana Press. https://doi.org/10.1007/978-1-59745-343-1_17

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  • DOI: https://doi.org/10.1007/978-1-59745-343-1_17

  • Publisher Name: Humana Press

  • Print ISBN: 978-1-58829-629-0

  • Online ISBN: 978-1-59745-343-1

  • eBook Packages: MedicineMedicine (R0)

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