Although several surgical techniques have been described to perform meniscal allograft transplantation with good clinical results and although different methods of capsular stabilization can be found in the literature, there is no standard surgical technique to prevent a common complication in the most of series: the tendency to a radial displacement or extrusion of the transplanted menisci. We present a simple, reproducible, and implant-free technique to perform a lateral capsular fixation (capsulodesis) at the time of only the soft-tissue fixation technique of meniscal allograft transplantation in an effort to reduce or prevent the risk of graft extrusion. Using a minimum of two 2.4-mm tunnels drilled from the contralateral side of the tibia with the help of a regular tibial anterior cruciate ligament guide, a capsular attachment to the lateral tibial plateau is obtained.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5442305 | PMC |
| http://dx.doi.org/10.1016/j.eats.2016.09.032 | DOI Listing |
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Article Synopsis
- Meniscal extrusion (ME) is a significant predictor of knee joint degeneration, but existing classifications primarily use numerical assessments without considering the underlying causes of ME.
- Evidence suggests that ME can arise from various conditions, including acute tears, chronic degeneration, and even joint loading or anatomical issues that are not necessarily indicative of pathology.
- A new qualitative classification is proposed to categorize ME into paraphysiological, pathological, and degenerative types, with an emphasis on adapting clinical management based on these distinct categories.
Return to Sport After ACL Reconstruction With Meniscal Allograft Transplantation Versus Isolated ACL Reconstruction: A Matched-Cohort Study.
Am J Sports Med
January 2025
Memorial Hermann Rockets Sports Medicine Institute, Department of Sports Medicine & Rehabilitation, Houston, Texas, USA.
Background: Meniscal allograft transplantation (MAT) is indicated in the setting of anterior cruciate ligament (ACL) reconstruction to restore proper arthrokinematics and load distribution for the meniscus-deficient knee. Objective outcomes after ACL reconstruction with concomitant MAT in athletic populations are scarcely reported and highly variable.
Purpose: To compare patient outcomes using an objective functional performance battery, self-reported outcome measures, and return-to-sport rates between individuals undergoing ACL reconstruction with concomitant MAT and a matched group undergoing isolated ACL reconstruction.
Combined Anterior Cruciate Ligament and Anterolateral Ligament Reconstruction Shows Superior Graft Remodeling, Maturation, and Stability Compared With Isolated Anterior Cruciate Ligament Reconstruction.
Arthroscopy
December 2024
Department of Orthopaedic Surgery, Chonnam National University Hwasun Hospital, College of Medicine, Chonnam National University, Seoyang-ro, Hwasun, Republic of Korea. Electronic address:
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Methods: A retrospective review was conducted on patients who underwent primary ACLR with quadruple hamstring grafts between January 2019 and March 2022, with a minimum follow-up period of 2 years. Patients were categorized into 2 groups on the basis of the addition of ALLR with tibialis anterior allografts: an isolated ACLR group and an ACLR + ALLR group.
Superior pain relief and quality of life with autografts using semitendinosus or patellar ligament compared to allografts in meniscal reconstruction: A 2-year prospective comparative study.
Knee Surg Sports Traumatol Arthrosc
December 2024
Department of Orthopedic Surgery, APHM, Institute for Locomotion, Sainte-Marguerite Hospital, Marseille, France.
Purpose: This study aims to compare the 2-year clinical outcomes of meniscal reconstructions using allograft versus autograft tissue, with a focus on patient-reported outcomes, complication rates and surgical revision rates.
Methods: This prospective comparative cohort study included 60 patients (ages 18-60 years) undergoing meniscal reconstruction. Patients were divided into an allograft group (n = 31) and an autograft group (n = 29; Hamstring tendon = 25 and patellar tendons = 4).
Knee osteotomy combined with meniscal allograft transplantation versus knee osteotomy alone in patients with unicompartmental knee osteoarthritis: a prospective double-blind randomised controlled trial protocol.
BMJ Open
December 2024
Clinica Ortopedica e Traumatologica II, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy.
Introduction: Knee osteotomy combined with meniscal allograft transplantation (MAT) showed promising results to treat unicompartmental knee osteoarthritis (OA) secondary to meniscal deficiency and knee malalignment. However, there is still no high-level evidence to demonstrate whether the combination of these two treatments is superior to osteotomy alone.
Methods And Analysis: 52 patients with unicompartmental knee OA Kellgren-Lawrence grade ≤3 secondary to meniscal deficiency and knee malalignment (aged 20-60 years) are randomised to undergo knee osteotomy associated with MAT or knee osteotomy alone in a 1:1 ratio.
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