Does meniscal transplantation improve the knee articular function at medium term?
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Published:
Aug 20, 2012
Keywords:
Meniscal allograft transplantation, Functional outcomes
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Abstract
Background:Few therapeutic options exist to improve the medium term clinical outcomes in young postmeniscectomized patients. The purpose of this study was to assess the medium term clinical and functional outcomes in patients treated with meniscal allograft transplantation.MethodsBetween 1998 and 2008, 28 patients underwent meniscal allograft transplantation, 17 lateral and 11 medial. Average age was 33 (range: 24-47); follow-up was 47 months. Twenty-one patients received concomitant procedures: osteotomies, ligamentoplasties, autologous osteochondral graft, osteochondral allografts and autologous condrocyte implantation. Patients were clinically evaluated with the Lysholm and IKDC scores preoperatively and then annually.ResultsAt final follow-up, statistically significant improvements (p <0.05) were found in the Lysholm and IKDC scores. Overall, 86% of the patients reported to be completely or almost completely satisfied and 25 of 28 patients (89%) stated they would undergo the procedure if the same problem affected the contralateral knee. Eight patients presented complications related to the rupture of the meniscal allograft, which were treated with partial meniscectomy or arthroscopic meniscal sutures.ConclusionsIn the medium term, meniscal transplantation improves both function and symptoms in symptomatic postmeniscectomized patients
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Paoletta, R. E., Costa Paz, M., Ayerza, M., & Muscolo, D. L. (2012). Does meniscal transplantation improve the knee articular function at medium term?. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 77(2), 88-95. https://doi.org/10.15417/20
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Clinical Research
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References
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2. Cameron JC, Saha S. Meniscal allograft transplantation for unicompartmental arthritis of the knee. Clin Orthop Relat Res. 1997;337:164-71.
3. Cole BJ, Dennis MG, Lee SJ, et al. Prospective evaluation of allograft meniscus transplantation: a minimum 2-year follow-up. Am J Sports Med 2006;34(6):919-27.
4. De Boer H, Koudstaal J. Failed meniscus transplantation: a report of three cases. Clin Orthop Relat Res 1994;306:155–62.
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6. Garrett J. Meniscal transplantation: a review of 43 cases with 2- to 7-year follow-up. Sports Med and Arthrosc Rev 1993;1:164-7.
7. Graf K, Sekiya J, Wojtys E. Long-term results after combined medial meniscal allograft transplantation and anterior cruciate ligament reconstruction: minimum 8.5-year follow-up study. Arthroscopy 2004;20:129–40.
8. Hede A, Larsen E, Sandberg H. Partial versus total meniscectomy: A prospective, randomized study with long-term followup. J Bone Joint Surg Br 1992;74:118-21.
9. Jackson JP. Degenerative changes in the knee after meniscectomy. Br Med J 1968;2:525-7.
10. Lanzer WL, Komenda G. Changes in articular cartilage after meniscectomy. Clin Orthop Relat Res 1990;252:41-8.
11. Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on Anterior-posterior of the knee. J Bone Joint Surg Am 1982;64:883-8.
12. Lubowitz JH, Verdonk PC, Reid JB III, Verdonk R. Meniscus allograft transplantation: a current concepts review. Knee Surg Sports Traumatol Arthrosc 2007;15:476-92.
13. Matava MJ. Meniscal allograft transplantation: a systematic review. Clin Orthop Relat Res 2007;455:142-57.
14. McDermott ID, Lie DT, Edwards A, Bull AM, Amis AA. The effects of lateral meniscal allograft transplantation techniques on tibio-femoral contact pressures. Knee Surg Sports Traumatol Arthrosc 2008;16:553-60.
15. McGinity JB, Geuss LF, Marvin RA. Partial or total meniscectomy: a comparative analysis. J Bone Joint Surg Am 1977;59: 763-6.
16. Milachowski KA, Weismeier K, Wirth CJ. Homologous meniscus transplantation: experimental and clinical results. Int Orthop1989;13:1-11.
17. Muscolo DL, Ayerza M, Makino A, Costa Paz M, Aponte Tinao L. Trasplante meniscal: indicaciones, selección del donante y resultados preliminares. Rev Argent Artrosc 2004;11(1):38-43.
18. Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am 2004;86(7):1392-404.
19. Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am 2005;87(suppl 1, pt 2):149-65.
20. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br 1961;43:752-7.
21. Rue JP, Yanke AB, Busam ML, et al. Prospective evaluation of concurrent meniscus transplantation and articular cartilage repair: minimum 2-year follow-up. Am J Sports Med 2008;36:1770-8.
22. Ryu RK, Dunbar V, Morse GG. Meniscal allograft replacement: a 1-year to 6-year experience. Arthroscopy 2002;18:989-94.
23. Tapper EM, Hoover NW. Late results after meniscectomy. J Bone Joint Surg Am 1969;51:517-26.
24. Van Arkel ERA, De Boer HH. Human meniscal transplantation: preliminary results at 2 to 5-year follow-up. J Bone Joint Surg Br 1995;77:589-95.
25. Van Arkel ERA, De Boer HH. Survival analysis of human meniscal transplantation. J Bone Joint Surg Br 2002;84:227-31.
26. Verdonk PC, Demurie A, Almqvist KF, Veys EM, Verbruggen, Verdonk R. Transplantation of viable meniscal allograft: survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am 2005;87:715-24.
27. Verdonk PC, Verstraete KL, Almqvist KF, et al. Meniscal allograft transplantation: long-term clinical results with radiological and magnetic resonance imaging correlations. Knee Surg Sports Traumatol Arthrosc 2006;14:694-706.
28. Von Lewinski G, Milachowski KA, Weismeier K, Kohn D, Wirth CJ. Twenty-year results of combined meniscal allograft transplantation, anterior cruciate ligament reconstruction and advancement of the medial collateral ligament. Knee Surg Sports Traumatol Arthrosc 2007;15:1072-82.
29. Wirth CJ, Peters G, Milachowski KA, Weismeier KG, Kohn D. Longterm results of meniscal allograft transplantation. Am J Sports Med 2002;30:174-81.
30. Yoldas E, Sekiya J, Irrgang J, Fu F, Harner C. Arthroscopically assisted meniscal allograft transplantation with and without combined anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2003;11:173-82.
2. Cameron JC, Saha S. Meniscal allograft transplantation for unicompartmental arthritis of the knee. Clin Orthop Relat Res. 1997;337:164-71.
3. Cole BJ, Dennis MG, Lee SJ, et al. Prospective evaluation of allograft meniscus transplantation: a minimum 2-year follow-up. Am J Sports Med 2006;34(6):919-27.
4. De Boer H, Koudstaal J. Failed meniscus transplantation: a report of three cases. Clin Orthop Relat Res 1994;306:155–62.
5. Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg Br 1948;30:664-70.
6. Garrett J. Meniscal transplantation: a review of 43 cases with 2- to 7-year follow-up. Sports Med and Arthrosc Rev 1993;1:164-7.
7. Graf K, Sekiya J, Wojtys E. Long-term results after combined medial meniscal allograft transplantation and anterior cruciate ligament reconstruction: minimum 8.5-year follow-up study. Arthroscopy 2004;20:129–40.
8. Hede A, Larsen E, Sandberg H. Partial versus total meniscectomy: A prospective, randomized study with long-term followup. J Bone Joint Surg Br 1992;74:118-21.
9. Jackson JP. Degenerative changes in the knee after meniscectomy. Br Med J 1968;2:525-7.
10. Lanzer WL, Komenda G. Changes in articular cartilage after meniscectomy. Clin Orthop Relat Res 1990;252:41-8.
11. Levy IM, Torzilli PA, Warren RF. The effect of medial meniscectomy on Anterior-posterior of the knee. J Bone Joint Surg Am 1982;64:883-8.
12. Lubowitz JH, Verdonk PC, Reid JB III, Verdonk R. Meniscus allograft transplantation: a current concepts review. Knee Surg Sports Traumatol Arthrosc 2007;15:476-92.
13. Matava MJ. Meniscal allograft transplantation: a systematic review. Clin Orthop Relat Res 2007;455:142-57.
14. McDermott ID, Lie DT, Edwards A, Bull AM, Amis AA. The effects of lateral meniscal allograft transplantation techniques on tibio-femoral contact pressures. Knee Surg Sports Traumatol Arthrosc 2008;16:553-60.
15. McGinity JB, Geuss LF, Marvin RA. Partial or total meniscectomy: a comparative analysis. J Bone Joint Surg Am 1977;59: 763-6.
16. Milachowski KA, Weismeier K, Wirth CJ. Homologous meniscus transplantation: experimental and clinical results. Int Orthop1989;13:1-11.
17. Muscolo DL, Ayerza M, Makino A, Costa Paz M, Aponte Tinao L. Trasplante meniscal: indicaciones, selección del donante y resultados preliminares. Rev Argent Artrosc 2004;11(1):38-43.
18. Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am 2004;86(7):1392-404.
19. Noyes FR, Barber-Westin SD, Rankin M. Meniscal transplantation in symptomatic patients less than fifty years old. J Bone Joint Surg Am 2005;87(suppl 1, pt 2):149-65.
20. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br 1961;43:752-7.
21. Rue JP, Yanke AB, Busam ML, et al. Prospective evaluation of concurrent meniscus transplantation and articular cartilage repair: minimum 2-year follow-up. Am J Sports Med 2008;36:1770-8.
22. Ryu RK, Dunbar V, Morse GG. Meniscal allograft replacement: a 1-year to 6-year experience. Arthroscopy 2002;18:989-94.
23. Tapper EM, Hoover NW. Late results after meniscectomy. J Bone Joint Surg Am 1969;51:517-26.
24. Van Arkel ERA, De Boer HH. Human meniscal transplantation: preliminary results at 2 to 5-year follow-up. J Bone Joint Surg Br 1995;77:589-95.
25. Van Arkel ERA, De Boer HH. Survival analysis of human meniscal transplantation. J Bone Joint Surg Br 2002;84:227-31.
26. Verdonk PC, Demurie A, Almqvist KF, Veys EM, Verbruggen, Verdonk R. Transplantation of viable meniscal allograft: survivorship analysis and clinical outcome of one hundred cases. J Bone Joint Surg Am 2005;87:715-24.
27. Verdonk PC, Verstraete KL, Almqvist KF, et al. Meniscal allograft transplantation: long-term clinical results with radiological and magnetic resonance imaging correlations. Knee Surg Sports Traumatol Arthrosc 2006;14:694-706.
28. Von Lewinski G, Milachowski KA, Weismeier K, Kohn D, Wirth CJ. Twenty-year results of combined meniscal allograft transplantation, anterior cruciate ligament reconstruction and advancement of the medial collateral ligament. Knee Surg Sports Traumatol Arthrosc 2007;15:1072-82.
29. Wirth CJ, Peters G, Milachowski KA, Weismeier KG, Kohn D. Longterm results of meniscal allograft transplantation. Am J Sports Med 2002;30:174-81.
30. Yoldas E, Sekiya J, Irrgang J, Fu F, Harner C. Arthroscopically assisted meniscal allograft transplantation with and without combined anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc 2003;11:173-82.