Meniscal Allograft Transplants

Clin Sports Med. 2020 Jan;39(1):93-123. doi: 10.1016/j.csm.2019.08.013.

Abstract

Meniscus allograft transplantation is an established surgical treatment indicated in symptomatic meniscus-deficient patients with minimal to no arthritis. Treatment decision making should be individualized after a thorough history and physical examination, with diagnostic imaging and arthroscopy to assess the status of the meniscus. The senior author prefers to use a bridge-in-slot technique, where osseous fixation of the allograft is completed through passage of a bone bridge to a tibial slot. Outcomes in meniscus allograft transplantation are favorable, with reported significant improvements in clinical outcome and low failures in short- and midterm follow-up studies.

Keywords: Knee; Meniscal allograft transplantation; Meniscus; Sports medicine.

Publication types

  • Review

MeSH terms

  • Allografts*
  • Arthroscopy
  • Contraindications, Procedure
  • Humans
  • Knee Joint / diagnostic imaging
  • Magnetic Resonance Imaging
  • Meniscectomy
  • Menisci, Tibial / transplantation*
  • Osteoarthritis, Knee / prevention & control
  • Patient Positioning
  • Patient Selection
  • Postoperative Care
  • Tibial Meniscus Injuries / surgery