Meniscus Transplantation — Experimental Study, Clinical Report, Arthroscopic Findings

Milachowski, K. A.; Weismeier, K.; Wirth, Carl Joachim; Kohn, D.

doi:10.1007/978-3-642-72782-5_79

Cited by 13 publications

(10 citation statements)

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“…Transplantation of human menisci was first reported in the English literature in 1984 51 and, while results of clinical investigations are mixed, the procedure is hypothesized to restore some load-bearing meniscus function. 28,53,54,61,63,72,73,79,85,88,89,93,96,98,99 In young active patients who have undergone meniscectomy, few other options currently exist. The results of shortand mid-term clinical studies have justified the procedure in patients who have pain or in whom articular cartilage deterioration in the meniscectomized compartment exists.…”

mentioning

confidence: 99%

Meniscal Repair and Transplantation: Indications, Techniques, Rehabilitation, and Clinical Outcome

Heckmann

Barber-Westin²,

Noyes³

2006

J Orthop Sports Phys Ther

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The purpose of this paper is to provide current knowledge regarding the indications, operative techniques, rehabilitation programs, and clinical outcomes of meniscus repair and transplantation procedures. Meniscus tears that occur in the periphery may be repaired using a variety of operative procedures with high success rates. Complex multiplanar tears that extend into the central one-third avascular zone can also be successfully repaired using a meticulous vertically divergent suture technique. The outcome of these repairs justifies preservation of meniscal tissue, especially in younger athletic individuals. Meniscal transplantation is a valid treatment option for patients who have undergone meniscectomy and have related tibiofemoral joint pain, or in whom articular cartilage deterioration in the meniscectomized compartment is present. Rehabilitation after these operations includes knee motion and quadriceps-strengthening exercises initiated the first day postoperatively. The initial goal is to prevent excessive weight bearing and joint compressive forces that could disrupt the healing meniscus repair or transplant. The protocol contains modifications according to the type of meniscal tear, if a concomitant procedure is done (such as a ligament reconstruction) or if noteworthy articular cartilage deterioration is present. Patients who have repairs of peripheral meniscus tears are generally progressed more rapidly than those who have repairs of tears extending in the central one-third region or those who undergo meniscal transplantation. The safety and effectiveness of the rehabilitation program has been demonstrated in several clinical studies. We recommend preservation of meniscal tissue, regardless of age, in active patients whenever possible.

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mentioning

confidence: 99%

Meniscal Repair and Transplantation: Indications, Techniques, Rehabilitation, and Clinical Outcome

Heckmann

Barber-Westin²,

Noyes³

2006

J Orthop Sports Phys Ther

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“…8,9 Over the past 20 years, considerable effort has been directed at repairing, regenerating, or replacing the damaged meniscus, [10][11][12][13][14][15][16] including fibrin clot, fascial sheaths, tissue "welding," and "ingrowth" scaffolding accompanied by a deluge of new instruments and implants designed to facilitate repair. Milachowski et al 17 are credited with implanting the first meniscal allograft in 1984. Since then, thousands of allografts have been performed worldwide, with several studies attesting to the early benefits of pain relief.…”

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confidence: 99%

Meniscal allograft replacement: A 1-year to 6-year experience

Ryu¹,

Dunbar²,

Morse³

2002

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Der Erfolg der Knochen-und Ligamentallografts hatten zu großem Optimismus hinsichtlich der Meniskustransplantation geführt [118,119]. Milachowski et al transplantierten bereits 1984 den ersten Meniskus beim Menschen [118,[120][121][122]. In den Folgeuntersuchungen zeigen die meisten meniskustransplantierten Patienten eine Verbesserung ihrer Kniegelenkbeschwerden [122,123].…”

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Geschichtlicher Wandel der Meniskuschirurgie – Veränderungen in Krankheitsverständnis, Operationstechniken und Komplikationen

Keller

Engelhardt

2015

Z Orthop Unfall

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The menisci play an important role in normal function of the knee joint. Meniscal injuries are associated with pain, swelling, impairment in function and activity level as well as early arthrosis of the knee joint. Patients with meniscal tears have to undergo surgery frequently. The pathway from the beginning of meniscal surgery to the modern arthroscopic meniscal surgery was not straightforward. The clinical picture of meniscal injuries, which caused articular trouble, was controversial for a long time. Meniscal surgery developed from knee joint surgery of the loose articular bodies. The first meniscal tear was not described until 1731. More than 100 years later, in 1866 the first planned meniscal surgery was performed. The importance of surgical techniques of meniscal resection and meniscal repair was emphasised in 1885. The beginning of knee joint arthroscopy took place in the 2nd decade of the 20th century. However, arthroscopy did not start its triumphal phase not until the 1960s coursing from Japan over North America to Europe. Approximately 150 years had passed from the risky arthrotomy surgeries of the past to the modern arthroscopic meniscal surgeries with low complication rates. Today, arthroscopic knee surgeries and especially arthroscopic meniscal surgeries are one of the most frequently performed orthopaedic procedures.

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Meniscus Transplantation — Experimental Study, Clinical Report, Arthroscopic Findings

Cited by 13 publications

References 1 publication

Meniscal Repair and Transplantation: Indications, Techniques, Rehabilitation, and Clinical Outcome

Meniscal Repair and Transplantation: Indications, Techniques, Rehabilitation, and Clinical Outcome

Meniscal allograft replacement: A 1-year to 6-year experience

Geschichtlicher Wandel der Meniskuschirurgie – Veränderungen in Krankheitsverständnis, Operationstechniken und Komplikationen

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