Meniscus allograft transplantation: indications, techniques and outcomes

Journal
EFORT Open Reviews
ISSN
2396-7544
2058-5241
Date Issued
2019
Author(s)
João Espregueira-Mendes
Type
Resource Types::text::journal::journal article
Scopus ID
2-s2.0-85065832785
DOI
URL
URL Institutional Repository
Abstract
<jats:p> New indications for meniscal allograft transplantation (MAT) are being added, but the general expert opinion is that it is still a procedure reserved for symptomatic meniscal loss. Lateral MAT has better clinical outcomes and less failure risk compared to medial MAT. Ideal conditions (low-grade chondral lesions) make MAT a more survivable and successful procedure. Meniscal extrusion after MAT is common and does not seem to alter results. Midterm survivorship of a MAT is reported to be 85–90%, while long-term survivorship decreases to 50–70% depending on chondral status and concomitant procedures. Even if the procedure is a success, there are high possibilities of not being able to resume sports activities. </jats:p><jats:p> Cite this article: EFORT Open Rev 2019;4:115-120. DOI: 10.1302/2058-5241.4.180052 </jats:p>
Subjects
allograft

; 

mat

; 

meniscal

; 

menisectomy

; 

postmenisectomy syndrome

; 

transplantation

; 

article

; 

clinical outcome

; 

human

; 

meniscal transplantation

; 

nuclear magnetic resonance imaging

; 

rehabilitation care

; 

survivorship

; 

suture technique

; 

treatment indication