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Meniscal Allograft Transplantation: Indications, Techniques, and Outcomes

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The Management of Meniscal Pathology

Abstract

For young patients with irreparable meniscal tears or previously meniscectomized knees, meniscal allograft transplantation (MAT) has been established as a safe and effective method to increase the tibiofemoral contact area, decrease contract stress, and restore the physiologic mechanics of the knee. Appropriately sized allografts are implanted using either the bridge-in-slot or bone plug technique for bony fixation, and any associated ligamentous or chondral pathologies are addressed concomitantly. Following rehabilitation, patients generally experience significant improvements in pain and function, and most patients are able to return to physical activity or sport within 6–9 months postoperatively. While animal models have demonstrated that meniscal transplantation slows the rate of degenerative cartilage changes, the chondroprotective effect of MAT in humans remains unclear.

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References

  1. Smillie IS. The current pattern of internal derangements of the knee joint relative to the menisci. Clin Orthop Relat Res. 1967;51:117–22.

    CAS  PubMed  Google Scholar 

  2. Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg. 1948;30b(4):664–70.

    Article  CAS  Google Scholar 

  3. Tapper EM, Hoover NW. Late results after meniscectomy. J Bone Joint Surg Am. 1969;51(3):517–526 passim.

    Article  CAS  PubMed  Google Scholar 

  4. Johnson RJ, Kettelkamp DB, Clark W, Leaverton P. Factors effecting late results after meniscectomy. J Bone Joint Surg Am. 1974;56(4):719–29.

    Article  CAS  PubMed  Google Scholar 

  5. Pengas IP, Assiotis A, Nash W, Hatcher J, Banks J, McNicholas MJ. Total meniscectomy in adolescents: a 40-year follow-up. J Bone Joint Surg. 2012;94(12):1649–54.

    Article  CAS  Google Scholar 

  6. Bolano LE, Grana WA. Isolated arthroscopic partial meniscectomy. Functional radiographic evaluation at five years. Am J Sports Med. 1993;21(3):432–7.

    Article  CAS  PubMed  Google Scholar 

  7. Burks RT, Metcalf MH, Metcalf RW. Fifteen-year follow-up of arthroscopic partial meniscectomy. Arthroscopy. 1997;13(6):673–9.

    Article  CAS  PubMed  Google Scholar 

  8. Salata MJ, Gibbs AE, Sekiya JK. A systematic review of clinical outcomes in patients undergoing meniscectomy. Am J Sports Med. 2010;38(9):1907–16.

    Article  PubMed  Google Scholar 

  9. Williams RJ 3rd, Warner KK, Petrigliano FA, Potter HG, Hatch J, Cordasco FA. MRI evaluation of isolated arthroscopic partial meniscectomy patients at a minimum five-year follow-up. HSS J. 2007;3(1):35–43.

    Article  PubMed  Google Scholar 

  10. Lee SJ, Aadalen KJ, Malaviya P, et al. Tibiofemoral contact mechanics after serial medial meniscectomies in the human cadaveric knee. Am J Sports Med. 2006;34(8):1334–44.

    Article  PubMed  Google Scholar 

  11. Bai B, Shun H, Yin ZX, Liao ZW, Chen N. Changes of contact pressure and area in patellofemoral joint after different meniscectomies. Int Orthop. 2012;36(5):987–91.

    Article  PubMed  PubMed Central  Google Scholar 

  12. McDermott ID, Amis AA. The consequences of meniscectomy. J Bone Joint Surg. 2006;88(12):1549–56.

    Article  CAS  Google Scholar 

  13. Verma NN, Kolb E, Cole BJ, et al. The effects of medial meniscal transplantation techniques on intra-articular contact pressures. J Knee Surg. 2008;21(1):20–6.

    Article  PubMed  Google Scholar 

  14. Van Thiel GS, Frank RM, Gupta A, et al. Biomechanical evaluation of a high tibial osteotomy with a meniscal transplant. J Knee Surg. 2011;24(1):45–53.

    Article  PubMed  Google Scholar 

  15. Baratz ME, Fu FH, Mengato R. Meniscal tears: the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee. A preliminary report. Am J Sports Med. 1986;14(4):270–5.

    Article  CAS  PubMed  Google Scholar 

  16. Bullough P, Goodfellow J. The significance of the fine structure of articular cartilage. J Bone Joint Surg. 1968;50(4):852–7.

    Article  CAS  Google Scholar 

  17. Korkala O, Karaharju E, Gronblad M, Aalto K. Articular cartilage after meniscectomy. Rabbit knees studied with the scanning electron microscope. Acta Orthop Scand. 1984;55(3):273–7.

    Article  CAS  PubMed  Google Scholar 

  18. Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on anterior-posterior motion of the knee. J Bone Joint Surg Am. 1982;64(6):883–8.

    Article  CAS  PubMed  Google Scholar 

  19. Mac CM. The movements of bones and joints; the synovial fluid and its assistants. J Bone Joint Surg. 1950;32-b(2):244–52.

    Article  Google Scholar 

  20. Aagaard H, Verdonk R. Function of the normal meniscus and consequences of meniscal resection. Scand J Med Sci Sports. 1999;9(3):134–40.

    Article  CAS  PubMed  Google Scholar 

  21. Englund M, Lohmander LS. Risk factors for symptomatic knee osteoarthritis fifteen to twenty-two years after meniscectomy. Arthritis Rheum. 2004;50(9):2811–9.

    Article  CAS  PubMed  Google Scholar 

  22. Milachowski KA, Weismeier K, Wirth CJ. Homologous meniscus transplantation. Experimental and clinical results. Int Orthop. 1989;13(1):1–11.

    Article  CAS  PubMed  Google Scholar 

  23. Rijk PC. Meniscal allograft transplantation--part I: background, results, graft selection and preservation, and surgical considerations. Arthroscopy. 2004;20(7):728–43.

    Article  PubMed  Google Scholar 

  24. Locht RC, Gross AE, Langer F. Late osteochondral allograft resurfacing for tibial plateau fractures. J Bone Joint Surg Am. 1984;66(3):328–35.

    Article  CAS  PubMed  Google Scholar 

  25. Cummins JF, Mansour JN, Howe Z, Allan DG. Meniscal transplantation and degenerative articular change: an experimental study in the rabbit. Arthroscopy. 1997;13(4):485–91.

    Article  CAS  PubMed  Google Scholar 

  26. Aagaard H, Jorgensen U, Bojsen-Moller F. Reduced degenerative articular cartilage changes after meniscal allograft transplantation in sheep. Knee Surg Sports Traumatol Arthrosc. 1999;7(3):184–91.

    Article  CAS  PubMed  Google Scholar 

  27. Andrish JT, Kambic HE, Valdevit ADC, et al. Selected knee osteotomies and meniscal replacement: effects on dynamic intra-joint loading. J Bone Joint Surg Am. 2001;83-A Suppl 2 Pt 2:142–50.

    Article  CAS  PubMed  Google Scholar 

  28. Alhalki MM, Hull ML, Howell SM. Contact mechanics of the medial tibial plateau after implantation of a medial meniscal allograft. A human cadaveric study. Am J Sports Med. 2000;28(3):370–6.

    Article  CAS  PubMed  Google Scholar 

  29. Paletta GA Jr, Manning T, Snell E, Parker R, Bergfeld J. The effect of allograft meniscal replacement on intraarticular contact area and pressures in the human knee. A biomechanical study. Am J Sports Med. 1997;25(5):692–8.

    Article  PubMed  Google Scholar 

  30. Sekiya JK, Ellingson CI. Meniscal allograft transplantation. J Am Acad Orthop Surg. 2006;14(3):164–74.

    Article  PubMed  Google Scholar 

  31. Trentacosta N, Graham WC, Gersoff WK. Meniscal allograft transplantation: state of the art. Sports Med Arthrosc Rev. 2016;24(2):e23–33.

    Article  PubMed  Google Scholar 

  32. Kempshall PJ, Parkinson B, Thomas M, et al. Outcome of meniscal allograft transplantation related to articular cartilage status: advanced chondral damage should not be a contraindication. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):280–9.

    Article  CAS  PubMed  Google Scholar 

  33. Stone KR, Pelsis JR, Surrette ST, Walgenbach AW, Turek TJ. Meniscus transplantation in an active population with moderate to severe cartilage damage. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):251–7.

    Article  PubMed  Google Scholar 

  34. Lee AS, Kang RW, Kroin E, Verma NN, Cole BJ. Allograft meniscus transplantation. Sports Med Arthrosc Rev. 2012;20(2):106–14.

    Article  CAS  PubMed  Google Scholar 

  35. Jarit GJ, Bosco JA 3rd. Meniscal repair and reconstruction. Bull NYU Hosp Jt Dis. 2010;68(2):84–90.

    PubMed  Google Scholar 

  36. de Boer HH, Koudstaal J. Failed meniscus transplantation. A report of three cases. Clin Orthop Relat Res. 1994;306:155–62.

    Google Scholar 

  37. Mascarenhas R, Yanke AB, Frank RM, Butty DC, Cole BJ. Meniscal allograft transplantation: preoperative assessment, surgical considerations, and clinical outcomes. J Knee Surg. 2014;27(6):443–58.

    Article  PubMed  Google Scholar 

  38. Harris JD, Cavo M, Brophy R, Siston R, Flanigan D. Biological knee reconstruction: a systematic review of combined meniscal allograft transplantation and cartilage repair or restoration. Arthroscopy. 2011;27(3):409–18.

    Article  PubMed  Google Scholar 

  39. van Arkel ER, de Boer HH. Human meniscal transplantation. Preliminary results at 2 to 5-year follow-up. J Bone Joint Surg. 1995;77(4):589–95.

    Article  Google Scholar 

  40. Cameron JC, Saha S. Meniscal allograft transplantation for unicompartmental arthritis of the knee. Clin Orthop Relat Res. 1997;337:164–71.

    Article  Google Scholar 

  41. Getgood A, Gelber J, Gortz S, De Young A, Bugbee W. Combined osteochondral allograft and meniscal allograft transplantation: a survivorship analysis. Knee Surg Sports Traumatol Arthrosc. 2015;23(4):946–53.

    Article  PubMed  Google Scholar 

  42. Lee BS, Kim HJ, Lee CR, et al. Clinical outcomes of meniscal allograft transplantation with or without other procedures: a systematic review and meta-analysis. Am J Sports Med. 2018;46(12):3047–56.

    Article  PubMed  Google Scholar 

  43. Sekiya JK, Giffin JR, Irrgang JJ, Fu FH, Harner CD. Clinical outcomes after combined meniscal allograft transplantation and anterior cruciate ligament reconstruction. Am J Sports Med. 2003;31(6):896–906.

    Article  PubMed  Google Scholar 

  44. Ryu RK, Dunbar VW, Morse GG. Meniscal allograft replacement: a 1-year to 6-year experience. Arthroscopy. 2002;18(9):989–94.

    Article  PubMed  Google Scholar 

  45. Abrams GD, Hussey KE, Harris JD, Cole BJ. Clinical results of combined meniscus and femoral osteochondral allograft transplantation: minimum 2-year follow-up. Arthroscopy. 2014;30(8):964–970.e961.

    Article  PubMed  Google Scholar 

  46. Farr J, Rawal A, Marberry KM. Concomitant meniscal allograft transplantation and autologous chondrocyte implantation: minimum 2-year follow-up. Am J Sports Med. 2007;35(9):1459–66.

    Article  PubMed  Google Scholar 

  47. Kazi HA, Abdel-Rahman W, Brady PA, Cameron JC. Meniscal allograft with or without osteotomy: a 15-year follow-up study. Knee Surg Sports Traumatol Arthrosc. 2015;23(1):303–9.

    Article  PubMed  Google Scholar 

  48. Bonasia DE, Amendola A. Combined medial meniscal transplantation and high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2010;18(7):870–3.

    Article  PubMed  Google Scholar 

  49. Amendola A. Knee osteotomy and meniscal transplantation: indications, technical considerations, and results. Sports Med Arthrosc Rev. 2007;15(1):32–8.

    Article  PubMed  Google Scholar 

  50. Graf KW Jr, Sekiya JK, Wojtys EM. Long-term results after combined medial meniscal allograft transplantation and anterior cruciate ligament reconstruction: minimum 8.5-year follow-up study. Arthroscopy. 2004;20(2):129–40.

    Article  PubMed  Google Scholar 

  51. Rue JP, Yanke AB, Busam ML, McNickle AG, Cole BJ. Prospective evaluation of concurrent meniscus transplantation and articular cartilage repair: minimum 2-year follow-up. Am J Sports Med. 2008;36(9):1770–8.

    Article  PubMed  Google Scholar 

  52. Gomoll AH, Kang RW, Chen AL, Cole BJ. Triad of cartilage restoration for unicompartmental arthritis treatment in young patients: meniscus allograft transplantation, cartilage repair and osteotomy. J Knee Surg. 2009;22(2):137–41.

    Article  PubMed  Google Scholar 

  53. Garrett JC, Steensen RN. Meniscal transplantation in the human knee: a preliminary report. Arthroscopy. 1991;7(1):57–62.

    Article  CAS  PubMed  Google Scholar 

  54. Milachowski KA, Kohn D, Wirth CJ. [Transplantation of allogeneic menisci]. Der Orthopade. 1994;23(2):160–3.

    Google Scholar 

  55. Weismeier K, Wirth CJ, Milachowski KA. [Transplantation of the meniscus. Experimental study]. Revue de chirurgie orthopedique et reparatrice de l’appareil moteur. 1988;74(2):155–9.

    Google Scholar 

  56. Siegel MG, Roberts CS. Meniscal allografts. Clin Sports Med. 1993;12(1):59–80.

    Article  CAS  PubMed  Google Scholar 

  57. Arnoczky SP, McDevitt CA, Schmidt MB, Mow VC, Warren RF. The effect of cryopreservation on canine menisci: a biochemical, morphologic, and biomechanical evaluation. J Orthop Res. 1988;6(1):1–12.

    Article  CAS  PubMed  Google Scholar 

  58. Gelber PE, Gonzalez G, Torres R, Garcia Giralt N, Caceres E, Monllau JC. Cryopreservation does not alter the ultrastructure of the meniscus. Knee Surg Sports Traumatol Arthrosc. 2009;17(6):639–44.

    Article  PubMed  Google Scholar 

  59. Villalba R, Pena J, Navarro P, et al. Cryopreservation increases apoptosis in human menisci. Knee Surg Sports Traumatol Arthrosc. 2012;20(2):298–303.

    Article  CAS  PubMed  Google Scholar 

  60. Lubowitz JH, Verdonk PC, Reid JB 3rd, Verdonk R. Meniscus allograft transplantation: a current concepts review. Knee Surg Sports Traumatol Arthrosc. 2007;15(5):476–92.

    Article  PubMed  Google Scholar 

  61. Rodeo SA. Meniscal allografts–where do we stand? Am J Sports Med. 2001;29(2):246–61.

    Article  CAS  PubMed  Google Scholar 

  62. Jackson DW, Whelan J, Simon TM. Cell survival after transplantation of fresh meniscal allografts. DNA probe analysis in a goat model. Am J Sports Med. 1993;21(4):540–50.

    Article  CAS  PubMed  Google Scholar 

  63. Wirth CJ, Peters G, Milachowski KA, Weismeier KG, Kohn D. Long-term results of meniscal allograft transplantation. Am J Sports Med. 2002;30(2):174–81.

    Article  PubMed  Google Scholar 

  64. Lee DH, Kim SB, Kim TH, Cha EJ, Bin SI. Midterm outcomes after meniscal allograft transplantation: comparison of cases with extrusion versus without extrusion. Am J Sports Med. 2010;38(2):247–54.

    Article  PubMed  Google Scholar 

  65. Noyes F. Irradiated meniscus allografts in the human knee: a two to five years follow-up study. Revue de chirurgie orthopedique et reparatrice de l’appareil moteur. 1995;81(2):207–8.

    Google Scholar 

  66. Yahia L, Zukor D. Irradiated meniscal allotransplants of rabbits: study of the mechanical properties at six months postoperation. Acta Orthop Belg. 1994;60(2):210–5.

    CAS  PubMed  Google Scholar 

  67. von Lewinski G, Milachowski KA, Weismeier K, Kohn D, Wirth CJ. Twenty-year results of combined meniscal allograft transplantation, anterior cruciate ligament reconstruction and advancement of the medial collateral ligament. Knee Surg Sports Traumatol Arthrosc. 2007;15(9):1072–82.

    Article  Google Scholar 

  68. Goble EM, Kohn D, Verdonk R, Kane SM. Meniscal substitutes--human experience. Scand J Med Sci Sports. 1999;9(3):146–57.

    Article  CAS  PubMed  Google Scholar 

  69. Dienst M, Greis PE, Ellis BJ, Bachus KN, Burks RT. Effect of lateral meniscal allograft sizing on contact mechanics of the lateral tibial plateau: an experimental study in human cadaveric knee joints. Am J Sports Med. 2007;35(1):34–42.

    Article  PubMed  Google Scholar 

  70. Pollard ME, Kang Q, Berg EE. Radiographic sizing for meniscal transplantation. Arthroscopy. 1995;11(6):684–7.

    Article  CAS  PubMed  Google Scholar 

  71. Wilmes P, Pape D, Kohn D, Seil R. The reproducibility of radiographic measurement of lateral meniscus horn position. Arthroscopy. 2007;23(10):1079–86.

    Article  PubMed  Google Scholar 

  72. Wilmes P, Anagnostakos K, Weth C, Kohn D, Seil R. The reproducibility of radiographic measurement of medial meniscus horn position. Arthroscopy. 2008;24(6):660–8.

    Article  PubMed  Google Scholar 

  73. Haut TL, Hull ML, Howell SM. Use of roentgenography and magnetic resonance imaging to predict meniscal geometry determined with a three-dimensional coordinate digitizing system. J Orthop Res. 2000;18(2):228–37.

    Article  CAS  PubMed  Google Scholar 

  74. Prodromos CC, Joyce BT, Keller BL, Murphy BJ, Shi K. Magnetic resonance imaging measurement of the contralateral normal meniscus is a more accurate method of determining meniscal allograft size than radiographic measurement of the recipient tibial plateau. Arthroscopy. 2007;23(11):1174–1179.e1171.

    Article  PubMed  Google Scholar 

  75. Huang A, Hull ML, Howell SM, Haut DT. Identification of cross-sectional parameters of lateral meniscal allografts that predict tibial contact pressure in human cadaveric knees. J Biomech Eng. 2002;124(5):481–9.

    Article  PubMed  Google Scholar 

  76. Shaffer B, Kennedy S, Klimkiewicz J, Yao L. Preoperative sizing of meniscal allografts in meniscus transplantation. Am J Sports Med. 2000;28(4):524–33.

    Article  CAS  PubMed  Google Scholar 

  77. Kaleka CC, Netto AS, Silva JC, et al. Which are the most reliable methods of predicting the meniscal size for transplantation? Am J Sports Med. 2016;44(11):2876–83.

    Article  PubMed  Google Scholar 

  78. Yoon JR, Kim TS, Lim HC, Lim HT, Yang JH. Is radiographic measurement of bony landmarks reliable for lateral meniscal sizing? Am J Sports Med. 2011;39(3):582–9.

    Article  PubMed  Google Scholar 

  79. Yoon JR, Kim TS, Wang JH, Yun HH, Lim H, Yang JH. Importance of independent measurement of width and length of lateral meniscus during preoperative sizing for meniscal allograft transplantation. Am J Sports Med. 2011;39(7):1541–7.

    Article  PubMed  Google Scholar 

  80. Johnson DL, Swenson TM, Livesay GA, Aizawa H, Fu FH, Harner CD. Insertion-site anatomy of the human menisci: gross, arthroscopic, and topographical anatomy as a basis for meniscal transplantation. Arthroscopy. 1995;11(4):386–94.

    Article  CAS  PubMed  Google Scholar 

  81. Van Thiel GS, Verma N, Yanke A, Basu S, Farr J, Cole B. Meniscal allograft size can be predicted by height, weight, and gender. Arthroscopy. 2009;25(7):722–7.

    Article  PubMed  Google Scholar 

  82. Shelton WR, Dukes AD. Meniscus replacement with bone anchors: a surgical technique. Arthroscopy. 1994;10(3):324–7.

    Article  CAS  PubMed  Google Scholar 

  83. Abat F, Gelber PE, Erquicia JI, Pelfort X, Gonzalez-Lucena G, Monllau JC. Suture-only fixation technique leads to a higher degree of extrusion than bony fixation in meniscal allograft transplantation. Am J Sports Med. 2012;40(7):1591–6.

    Article  PubMed  Google Scholar 

  84. Stone KR, Rosenberg T. Surgical technique of meniscal replacement. Arthroscopy. 1993;9(2):234–7.

    Article  CAS  PubMed  Google Scholar 

  85. Chen MI, Branch TP, Hutton WC. Is it important to secure the horns during lateral meniscal transplantation? A cadaveric study. Arthroscopy. 1996;12(2):174–81.

    Article  CAS  PubMed  Google Scholar 

  86. 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(3):320–8.

    Article  CAS  PubMed  Google Scholar 

  87. Rath E, Richmond JC, Yassir W, Albright JD, Gundogan F. Meniscal allograft transplantation. Two- to eight-year results. Am J Sports Med. 2001;29(4):410–4.

    Article  CAS  PubMed  Google Scholar 

  88. Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am. 2004;86-a(7):1392–404.

    Article  Google Scholar 

  89. Krippaehne WW, Hunt TK, Jackson DS, Dunphy JE. Studies on the effect of stress on transplants of autologous and homologous connective tissue. Am J Surg. 1962;104:267–72.

    Article  CAS  PubMed  Google Scholar 

  90. Hannon MG, Ryan MK, Strauss EJ. Meniscal allograft transplantation a comprehensive historical and current review. Bull Hosp Jt Dis (2013). 2015;73(2):100–8.

    Google Scholar 

  91. Fritz JM, Irrgang JJ, Harner CD. Rehabilitation following allograft meniscal transplantation: a review of the literature and case study. J Orthop Sports Phys Ther. 1996;24(2):98–106.

    Article  CAS  PubMed  Google Scholar 

  92. Kohn D, Aagaard H, Verdonk R, Dienst M, Seil R. Postoperative follow-up and rehabilitation after meniscus replacement. Scand J Med Sci Sports. 1999;9(3):177–80.

    Article  CAS  PubMed  Google Scholar 

  93. Barber FA. Accelerated rehabilitation for meniscus repairs. Arthroscopy. 1994;10(2):206–10.

    Article  CAS  PubMed  Google Scholar 

  94. Arnoczky SP, Warren RF, McDevitt CA. Meniscal replacement using a cryopreserved allograft. An experimental study in the dog. Clin Orthop Relat Res. 1990;252:121–8.

    Google Scholar 

  95. Cole BJ, Dennis MG, Lee SJ, et al. Prospective evaluation of allograft meniscus transplantation: a minimum 2-year follow-up. Am J Sports Med. 2006;34(6):919–27.

    Article  PubMed  Google Scholar 

  96. Vundelinckx B, Bellemans J, Vanlauwe J. Arthroscopically assisted meniscal allograft transplantation in the knee: a medium-term subjective, clinical, and radiographical outcome evaluation. Am J Sports Med. 2010;38(11):2240–7.

    Article  PubMed  Google Scholar 

  97. Kim JM, Lee BS, Kim KH, Kim KA, Bin SI. Results of meniscus allograft transplantation using bone fixation: 110 cases with objective evaluation. Am J Sports Med. 2012;40(5):1027–34.

    Article  PubMed  Google Scholar 

  98. Sekiya JK, West RV, Groff YJ, Irrgang JJ, Fu FH, Harner CD. Clinical outcomes following isolated lateral meniscal allograft transplantation. Arthroscopy. 2006;22(7):771–80.

    Article  PubMed  Google Scholar 

  99. Verdonk PC, Demurie A, Almqvist KF, Veys EM, Verbruggen G, Verdonk R. Transplantation of viable meniscal allograft. Survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am. 2005;87(4):715–24.

    Article  PubMed  Google Scholar 

  100. McCormick F, Harris JD, Abrams GD, et al. Survival and reoperation rates after meniscal allograft transplantation: analysis of failures for 172 consecutive transplants at a minimum 2-year follow-up. Am J Sports Med. 2014;42(4):892–7.

    Article  PubMed  Google Scholar 

  101. Verdonk PC, Verstraete KL, Almqvist KF, et al. Meniscal allograft transplantation: long-term clinical results with radiological and magnetic resonance imaging correlations. Knee Surg Sports Traumatol Arthrosc. 2006;14(8):694–706.

    Article  PubMed  Google Scholar 

  102. Verstraete KL, Verdonk R, Lootens T, Verstraete P, De Rooy J, Kunnen M. Current status and imaging of allograft meniscal transplantation. Eur J Radiol. 1997;26(1):16–22.

    Article  CAS  PubMed  Google Scholar 

  103. van Arkel ER, Goei R, de Ploeg I, de Boer HH. Meniscal allografts: evaluation with magnetic resonance imaging and correlation with arthroscopy. Arthroscopy. 2000;16(5):517–21.

    Article  PubMed  Google Scholar 

  104. Lee BS, Chung JW, Kim JM, Cho WJ, Kim KA, Bin SI. Morphologic changes in fresh-frozen meniscus allografts over 1 year: a prospective magnetic resonance imaging study on the width and thickness of transplants. Am J Sports Med. 2012;40(6):1384–91.

    Article  PubMed  Google Scholar 

  105. Saltzman BM, Bajaj S, Salata M, et al. Prospective long-term evaluation of meniscal allograft transplantation procedure: a minimum of 7-year follow-up. J Knee Surg. 2012;25(2):165–75.

    Article  PubMed  Google Scholar 

  106. Elattar M, Dhollander A, Verdonk R, Almqvist KF, Verdonk P. Twenty-six years of meniscal allograft transplantation: is it still experimental? A meta-analysis of 44 trials. Knee Surg Sports Traumatol Arthrosc. 2011;19(2):147–57.

    Article  PubMed  Google Scholar 

  107. Kelly BT, Potter HG, Deng XH, et al. Meniscal allograft transplantation in the sheep knee: evaluation of chondroprotective effects. Am J Sports Med. 2006;34(9):1464–77.

    Article  PubMed  Google Scholar 

  108. Jauregui JJ, Wu ZD, Meredith S, Griffith C, Packer JD, Henn RF 3rd. How should we secure our transplanted meniscus? A meta-analysis. Am J Sports Med. 2018;46(9):2285–90.

    Article  PubMed  Google Scholar 

  109. Bin SI, Nha KW, Cheong JY, Shin YS. Midterm and long-term results of medial versus lateral meniscal allograft transplantation: a meta-analysis. Am J Sports Med. 2018;46(5):1243–50.

    Article  PubMed  Google Scholar 

  110. Potter HG, Rodeo SA, Wickiewicz TL, Warren RF. MR imaging of meniscal allografts: correlation with clinical and arthroscopic outcomes. Radiology. 1996;198(2):509–14.

    Article  CAS  PubMed  Google Scholar 

  111. Koh YG, Moon HK, Kim YC, Park YS, Jo SB, Kwon SK. Comparison of medial and lateral meniscal transplantation with regard to extrusion of the allograft, and its correlation with clinical outcome. J Bone Joint Surg. 2012;94(2):190–3.

    Article  Google Scholar 

  112. Grassi A, Bailey JR, Filardo G, Samuelsson K, Zaffagnini S, Amendola A. Return to sport activity after meniscal allograft transplantation: at what level and at what cost? A systematic review and meta-analysis. Sports Health. 2019;1941738118819723

    Google Scholar 

  113. Chalmers PN, Karas V, Sherman SL, Cole BJ. Return to high-level sport after meniscal allograft transplantation. Arthroscopy. 2013;29(3):539–44.

    Article  PubMed  Google Scholar 

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Kingery, M.T., Strauss, E.J. (2020). Meniscal Allograft Transplantation: Indications, Techniques, and Outcomes. In: Strauss, E.J., Jazrawi, L.M. (eds) The Management of Meniscal Pathology. Springer, Cham. https://doi.org/10.1007/978-3-030-49488-9_9

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