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Meniscal Allograft Transplantation Techniques

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Cartilage Restoration

Abstract

Meniscal allograft transplantation (MAT) techniques continue to evolve. The common goal is to reproduce the function of the meniscus. To accomplish this goal, it is necessary to match the size of the meniscus allograft to patient’s original meniscus size, place the allograft root insertions at the original attachment sites, and create secure fixation. It is the authors’ preference to perform MAT via a bony attachment technique. Laboratory studies show that bony attachments are superior biomechanically to soft tissue only; therefore two bony attachment techniques will be illustrated in this chapter: bone bridge in channel and bone plug in the tunnel/socket. These techniques allow for reproducible results reported by multiple authors. The challenge for the next generation is meniscal extrusion: is it the key to chondroprotection?

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References

  1. Getgood A, LaPrade RF, Verdonk P, et al. International meniscus reconstruction experts forum (IMREF) 2015 consensus statement on the practice of meniscal allograft transplantation. Am J Sports Med. 2017;45(5):1195–205.

    Article  PubMed  Google Scholar 

  2. Ode GE, Van Thiel GS, McArthur SA, et al. Effects of serial sectioning and repair of radial tears in the lateral meniscus. Am J Sports Med. 2012;40(8):1863–70.

    Article  PubMed  Google Scholar 

  3. Walker PS, Erkman MJ. The role of the menisci in force transmission across the knee. Clin Orthop Relat Res. 1975;109:184–92.

    Article  Google Scholar 

  4. Musahl V, Citak M, O’Loughlin PF, Choi D, Bedi A, Pearle AD. The effect of medial versus lateral meniscectomy on the stability of the anterior cruciate ligament-deficient knee. Am J Sports Med. 2010;38(8):1591–7.

    Article  PubMed  Google Scholar 

  5. 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 

  6. van Arkel ER, de Boer HH. Survival analysis of human meniscal transplantations. J Bone Joint Surg Br. 2002;84(2):227–31.

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  8. Farr J, Cole B, Dhawan A, Kercher J, Sherman S. Clinical cartilage restoration: evolution and overview. Clin Orthop Relat Res. 2011;469(10):2696–705.

    Article  PubMed  PubMed Central  Google Scholar 

  9. 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 

  10. McDermott ID, Lie DT, Edwards A, Bull AM, Amis AA. The effects of lateral meniscal allograft transplantation techniques on tibio-femoral contact pressures. Knee Surg Sports Traumatol Arthrosc Off J ESSKA. 2008;16(6):553–60.

    Article  Google Scholar 

  11. 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 

  12. Fu FH, Bennett CH, Ma CB, et al. Current trends in anterior cruciate ligament reconstruction. Part II. Operative procedures and clinical correlations. Am J Sports Med. 2000;28:124–30.

    Article  CAS  PubMed  Google Scholar 

  13. Dienst M, Greis PE, Ellis BJ, et al. 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;35:34–42.

    Article  PubMed  Google Scholar 

  14. Teichtahl AJ, Davies-Tuck ML, Wluka AE, Jones G, Cicuttini FM. Change in knee angle influences the rate of medial tibial cartilage volume loss in knee osteoarthritis. Osteoarthr Cartil/OARS, Osteoarthr Res Soc. 2009;17(1):8–11.

    Article  CAS  Google Scholar 

  15. Birmingham TB, Giffin JR, Chesworth BM, et al. Medial opening wedge high tibial osteotomy: a prospective cohort study of gait, radiographic, and patient-reported outcomes. Arthritis Rheum. 2009;61(5):648–57.

    Article  PubMed  Google Scholar 

  16. 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 

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

    Article  CAS  PubMed  Google Scholar 

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

    Article  Google Scholar 

  19. Noyes F, Barber-Westin S. Irradiated meniscus allografts in the human knee: a two to five year follow-up study. Orthopaedic. Transactions. 1995;19:417.

    Google Scholar 

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

    Article  PubMed  Google Scholar 

  21. Goble E, Kane S, Wilcox T, Doucette S. Meniscal allografts. Operative arthroscopy. Philadelphia: Lippincott-Raven; 1996. p. 317–31.

    Google Scholar 

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

    Article  Google Scholar 

  23. Carter T. Meniscal allograft transplantation. Sports Med Arthrosc Rev. 1999;7:51–62.

    Article  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  25. Rath E, Richmond JC, Yassir W, et al. Meniscal allograft transplantation. Two- to eight-year results. Am J Sports Med. 2001;29:410–4.

    Article  CAS  PubMed  Google Scholar 

  26. Verdonk PCM, Demurie A, Almqvist KF, et al. Transplantation of viable meniscal allograft. Survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am. 2005;87:715–24.

    Article  PubMed  Google Scholar 

  27. 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;34:919–27.

    Article  PubMed  Google Scholar 

  28. Noyes FR, Barber-Westin SD. Meniscal transplantation in symptomatic patients under fifty years of age: survivorship analysis. J Bone Joint Surg Am. 2015;97(15):1209–19.

    Article  PubMed  Google Scholar 

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Correspondence to Alan Getgood .

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Getgood, A., Farr, J., Gomoll, A.H. (2018). Meniscal Allograft Transplantation Techniques. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, Cham. https://doi.org/10.1007/978-3-319-77152-6_27

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  • DOI: https://doi.org/10.1007/978-3-319-77152-6_27

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-77151-9

  • Online ISBN: 978-3-319-77152-6

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