Meniscal Allograft Transplantation

Hergan, David; Thut, David C.; Sherman, Orrin H.; Day, Michael S.

doi:10.1016/j.arthro.2010.05.019

Cited by 79 publications

(77 citation statements)

References 57 publications

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“…Overall, clinical and functional outcomes are satisfactory, and MAT is currently considered a safe, reliable and justified procedure in selected patients [6,7,9,12,13]. During the first 5 years after MAT, physicians can expect a mean Lysholm score of 80 points (range 60-100), with still values between 60 and 80 points at a follow-up between 10 and 20 years [7].…”

Section: Discussionmentioning

confidence: 97%

“…Noyes et al observed a different timing of graft failure in the lateral (mean of 53 months) and medial (mean of 25 months) menisci [34]. The most common complications for MAT are: graft tear, graft shrinkage, graft extrusion, knee stiffness (especially if MAT with associated procedures), infection, immune reaction, suture granulomas, portal pain, synovitis, and intraarticular hematoma [6,7,13,16,35,36]. The rate of graft tear is approximately 8% [6], which may be treated conservatively or operatively with meniscal repair or meniscectomy [18,37].…”

Section: Complicationsmentioning

confidence: 99%

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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: 97%

Section: Complicationsmentioning

confidence: 99%

Meniscal Allograft Transplantation: Where are we Standing?

Monllau¹,

Alentorn-Geli²,

Pelfort³

et al. 2013

J Transplant Technol Res

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“…Several authors performed an MRI evaluation during MAT follow-up visits [3,19,28] and believe that MRI could be a gold standard to evaluate meniscal allograft status [29]. It has been demonstrated that it is worthwhile to assess the graft and joint preservation effect thoroughly with high-level evidence.…”

Section: Discussionmentioning

confidence: 99%

Current status of second-look arthroscopy after meniscal allograft transplantation: review of the literature

Sobti

Yoon

et al. 2015

Arch Orthop Trauma Surg

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“…In an analysis of 14 papers of MAT with bony fixation only, Hergan et al [16] found overall good patient outcomes in patients undergoing MAT, with no differences noted in patients undergoing medial versus lateral MAT and no statistical differences between patients undergoing isolated MAT and those undergoing MAT with concomitant procedures. In a larger review, Elattar et al [10] analyzed 44 papers consisting of a total of 1136 MATs in 1068 patients.…”

Section: Clinical Outcomesmentioning

confidence: 97%

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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Meniscal Allograft Transplantation

Cited by 79 publications

References 57 publications

Meniscal Allograft Transplantation: Where are we Standing?

Meniscal Allograft Transplantation: Where are we Standing?

Current status of second-look arthroscopy after meniscal allograft transplantation: review of the literature

Meniscus transplantation

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