Arthroscopic Meniscus Allograft Transplantation in Male Professional Soccer Players

Marcacci, Maurilio; Muccioli, Giulio Maria Marcheggiani; Grassi, Alberto; Ricci, Margherita; Tsapralis, Kyriakos; Nanni, Gianni; Bonanzinga, Tommaso; Zaffagnini, Stefano

doi:10.1177/0363546513508763

Cited by 83 publications

(91 citation statements)

References 27 publications

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“…Many studies found significant improvements after MAT in the International Knee Documentation Committee (IKDC) [11,14,15,17,18,20], with percentages between 70 to 90% of nearly normal or normal values [21][22][23]. MAT has provided most patients with pain relief, adequate return to sports, and excellent satisfaction [6][7][8][9]10,11,14,15,17,18,21,[24][25][26][27]. In general, quality of life has even improved after MAT [28], with physical and mental component summary values above those for the matched U.S. population [22,23].…”

Section: Discussionmentioning

confidence: 99%

“…Most studies report a Tegner score in the first 5 years from 3 to 7, corresponding to return to work and recreational sports [7]. Nonetheless, return to high-level competitive sports has been also reported after MAT [24][25][26]. Clinical outcomes like knee effusion, range of motion, stability, or dynamic muscular tests have also improved with MAT [9].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Meniscal Allograft Transplantation: Where are we Standing?

Monllau¹,

Alentorn-Geli²,

Pelfort³

et al. 2013

J Transplant Technol Res

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Meniscal allograft transplantation (MAT) is becoming a common procedure in Orthopedic departments worldwide. This procedure has demonstrated good and excellent results in terms of pain relief, improvement in clinical and functional outcomes, return to sports, and patient's satisfaction. However, MAT is not a universally accepted procedure due to its questionable chondroprotective effects and the relatively high rate of complications and/or reoperations. The present short review summarizes the principal indications, contraindications, outcomes, and complications. Also, it covers several controversial topics like graft preservation, graft sizing, graft fixation, results in MAT associated with concomitant procedures, and the role of MAT in the prevention of knee osteoarthritis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Meniscal Allograft Transplantation: Where are we Standing?

Monllau¹,

Alentorn-Geli²,

Pelfort³

et al. 2013

J Transplant Technol Res

View full text Add to dashboard Cite

show abstract

“…Marcacci et al [24] described the clinical outcomes following MAT in male professional soccer players, with 92 % of patients returning to soccer at an average 11±3 months following surgery. While the authors described significant improvements outcome scores at 1 year, there were no significant improvements at final follow-up 3 years following surgery.…”

Section: Clinical Outcomesmentioning

confidence: 99%

Meniscus transplantation

Frank

Cole

2015

Curr Rev Musculoskelet Med

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Understanding the structure and function of the meniscus is critical to understanding its role in overall knee joint function. Injury to, or removal of, meniscal tissue may be associated with articular cartilage wear, knee instability, and, ultimately, the progression of osteoarthritis. While every effort is made for preserving and/or repairing damaged meniscal tissue, in some cases, the meniscus is not amenable to repair after injury. For appropriately indicated patients with symptomatic meniscal deficiency, meniscus allograft transplantation is an excellent surgical solution aimed at reducing pain and improving function. Indications for meniscus allograft transplantation are limited, and concomitant procedures such as osteotomy for malalignment, ligamentous, and/or articular cartilage restoration may be necessary in order to ensure an optimal result following meniscus allograft transplantation. Surgical techniques for meniscus allograft transplantation are variable and include soft-tissue fixation versus bone plug fixation versus bone bridge fixation. Outcomes following meniscus allograft transplantation are generally good to excellent, though reoperation rates are relatively high. The purpose of this article is to provide a concise review of recently published data on meniscus allograft transplantation, with a focus on recent outcomes studies.

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“…Despite significant improvements in outcome scores at 1 year, these authors found no significant improvements at 3-year follow-up. 9 A second study, however, has shown a 77% return to play in high-level athletes at an average of 17 months, with significant improvements in outcomes at a mean of 3.3 years. 10 The case presented involves this patient population with a 20-year-old collegiate basketball player who foremost wishes to return to sport but also desires to delay progression of degenerative changes.…”

mentioning

confidence: 97%

Meniscal Allograft Transplantation With Soft Tissue in Bone Socket Fixation: Arthroscopic Technique With Technical Pearls

Roberson

Wyland

2017

Arthroscopy Techniques

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Meniscal allograft transplantation may slow the progression of degenerative changes in the meniscus-deficient knee. The current literature suggests patients can experience good early to mid-term satisfaction and patient-reported outcomes with reasonable expectations of return to work. More ambitious applications in athletes have also shown good results although long-term data are lacking. Traditionally, meniscal allograft transplantation has been considered an open procedure with incorporation of bone blocks from the allograft source. However, as arthroscopic techniques have advanced, it has become possible to perform this procedure through a predominantly arthroscopic approach while securing the soft tissue graft in bone tunnels. The current demonstration provides this background and technical pearls for success in arthroscopic meniscal allograft transplantation.

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Arthroscopic Meniscus Allograft Transplantation in Male Professional Soccer Players

Abstract: Arthroscopic MAT in professional soccer players allowed a return to play at the same level (Tegner score of 10) in 75% of the cases at 36-month follow-up.

Cited by 83 publications

References 27 publications

Meniscal Allograft Transplantation: Where are we Standing?

Meniscal Allograft Transplantation: Where are we Standing?

Meniscus transplantation

Meniscal Allograft Transplantation With Soft Tissue in Bone Socket Fixation: Arthroscopic Technique With Technical Pearls

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