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Delayed Rehabilitation After Meniscal Allograft Transplantation

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Knee Arthroscopy

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Abstract

Graft extrusion after meniscal allograft transplantation (MAT) has been reported to be a distinct feature of transplanted meniscus and has not been resolved. Biomechanically, insufficient articular cartilage coverage generated by graft extrusion leads to failure in normal biomechanics of knee joint. Causes of the graft extrusion are uncertain, but there are possible explanations such as preoperative size measurement error, geometrically unmatched graft, mal-positioned graft, overtensioning of the graft suture, or soft tissue contracture at the meniscocapsular junction. However, literature on the rehabilitation strategy to reduce meniscal graft extrusion is lacking. Our delayed rehabilitation program aims to restrict the initial range of motion and minimize the load on the graft up to three months after MAT. We suggest that this delayed rehabilitation can provide a positive effect on mechanical stabilization and biological healing of the graft protecting the healing process at the relatively weak meniscocapsular attachment.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Republic of Korea

    Dhong Won Lee & Jae Il Lee

  2. Department of Orthopaedic Surgery, Hanyang University Myongji Hospital, Gyeonggi-do, Republic of Korea

    Jin Goo Kim

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  1. Dhong Won Lee
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Correspondence to Dhong Won Lee .

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Editors and Affiliations

  1. Department of Orthopedic, Hanyang University, Myong Ji Hospital, Gyeonggi-do, Korea (Republic of)

    Jin Goo Kim

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Lee, D.W., Lee, J.I., Kim, J.G. (2021). Delayed Rehabilitation After Meniscal Allograft Transplantation. In: Kim, J.G. (eds) Knee Arthroscopy. Springer, Singapore. https://doi.org/10.1007/978-981-15-8191-5_22

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  • DOI: https://doi.org/10.1007/978-981-15-8191-5_22

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-8190-8

  • Online ISBN: 978-981-15-8191-5

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