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Meniscal Allograft Transplantation: Updates and Outcomes

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Abstract

Meniscal allograft transplantation (MAT) has become an established treatment for patients with a symptomatic post-meniscectomy knee. The most suitable patients for this surgery are nonobese patients under 50 years of age with minimal degenerative changes, but patients outside these criteria can also benefit from the procedure. Fresh frozen meniscal grafts are most commonly used today. Proper sizing of the donor meniscus to the recipient is mandatory. The meniscus allograft is usually implanted by arthroscopic or a semi-open technique. On the medial side, the meniscal roots are usually fixed in bone tunnels with bone plugs or via soft tissue sutures. On the lateral side, bony fixation is usually performed with a bone bridge connecting the anterior and posterior roots into a trough in the tibia, while soft tissue fixation can be performed with two bone tunnels. The rehabilitation needs to take into account the slow healing of allograft tissue and high forces that may be applied to the meniscal root fixations. Patient-related outcomes are generally good with the best results in young patients with little degenerative changes. Graft extrusion is common in MRI following MAT, but with little influence on the reported clinical outcomes. Increasing radiological degenerative changes are seen 10 years after MAT.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway

    Sverre Løken MD, PhD, Gilbert Moatshe MD & Lars Engebretsen MD, PhD

  2. Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway

    Sverre Løken MD, PhD, Gilbert Moatshe MD, Håvard Moksnes PT, PhD & Lars Engebretsen MD, PhD

  3. Steadman Philippon Research Institute, Vail, CO, USA

    Gilbert Moatshe MD

  4. University of Oslo, Oslo, Norway

    Gilbert Moatshe MD & Lars Engebretsen MD, PhD

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  1. Sverre Løken MD, PhD
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Correspondence to Sverre Løken MD, PhD .

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  1. Steadman Philippon Research Institute, Vail, Colorado, USA

    Robert F. LaPrade

  2. University of Minnesota Department of Orthopaedic Surgery, Minneapolis, Minnesota, USA

    Elizabeth A. Arendt

  3. University of Western Ontario Fowler Kennedy Sport Medicine Clinic, London, Ontario, Canada

    Alan Getgood

  4. The Orthopaedic Center, P.A., Washington, District of Columbia, USA

    Scott C. Faucett

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Løken, S., Moatshe, G., Moksnes, H., Engebretsen, L. (2017). Meniscal Allograft Transplantation: Updates and Outcomes. In: LaPrade, R., Arendt, E., Getgood, A., Faucett, S. (eds) The Menisci. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-53792-3_17

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  • DOI: https://doi.org/10.1007/978-3-662-53792-3_17

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-53791-6

  • Online ISBN: 978-3-662-53792-3

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