Meniscal allograft transplantation (MAT) has moved into mainstream orthopedics. With proper patient selection, and recognition and treatment of comorbid conditions, MAT offers a solution that can at least temporarily decrease pain and increase function. This article reviews the basic science of meniscal mechanics, the pathomechanics of meniscal injury, and MAT indications and techniques. A brief description of treatment of comorbid conditions and the outcomes of MAT is also provided.
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