All-Arthroscopic Meniscal Allograft Transplantation Technique with Bone Plugs and Preloaded Sutures

Samitier, Gonzalo; Vinagre, Gustavo; Alentorn-Geli, Eduard; Sava, Maria; Cugat, Ramón

doi:10.1016/j.eats.2020.05.015

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…Missed concomitant knee injuries constitute another substantial theme in this topic. The available literature reports that nearly 15% of ACL failures are a result of a missed diagnosis of concomitant ligament, meniscus, or cartilage lesions (16,39). The most commonly unrecognized instability is secondary to a posterolateral corner (PLC) injury (17).…”

Section: Reasons For Failurementioning

confidence: 99%

Anterior cruciate ligament failure and management

2023

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Anterior cruciate ligament (ACL) reconstruction failure can be defined as abnormal knee function due to graft insufficiency with abnormal laxity or failure to recreate a functional knee according to the expected outcome. Traumatic ruptures have been reported as the most common reason for failure. They are followed by technical errors, missed concomitant knee injuries, and biological failures. An in-depth preoperative examination that includes a medical history, clinical examinations, advanced imaging, and other appropriate methods is of utmost importance. There is still no consensus as to the ideal graft, but autografts are the favorite choice even in ACL revision. Concomitant meniscal treatment, ligamentous reconstruction, and osteotomies can be performed in the same surgical session to remove anatomical or biomechanical risk factors for the failure. Patient expectations should be managed since outcomes after ACL revision are not as good as those following primary ACL reconstruction.

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Section: Reasons For Failurementioning

confidence: 99%

Anterior cruciate ligament failure and management

2023

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“…Additionally, the absence of advanced joint arthritis or osteoarthritis exhibiting degenerative alterations, malalignment, knee instability, systemic or localized infection, synovial disorders, autoimmune diseases or inflammatory arthritis, bipolar cartilaginous lesions, knee arthrofibrosis, or skeletal immaturity is imperative. Preferably, individuals are non-smokers and maintain a BMI below 30 [1][2][3][4][5]. Graft preservation options include (i) lyophilization (freeze-drying), often in combination with irradiation; (ii) freezing (deep-frozen or fresh-frozen); or (iii) cryopreservation [1,2,5].…”

Section: Introductionmentioning

confidence: 99%

A Case Report of a National Judo Champion: Is Return to High-Level Contact Sports Possible After Meniscus Allograft Transplantation?

Vanbiesbroeck,

Vandenrijt,

Van Glabbeek

et al. 2024

Cureus

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Meniscus allograft transplantation (MAT) is a surgical procedure reserved for (relatively) younger individuals who remain symptomatic after the resection of a voluminous part of the meniscus. Return to sports and certainly the level of sport post-MAT are highly variable. We present a unique case of a national judo champion who was able to compete at the highest level following MAT. Considerations regarding the rehabilitation and follow-up of this patient are provided, and the risk of rerupture is discussed. Although returning to high-level contact sports post-MAT is possible, the risk of rerupture should be considered.

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“…Anterior cruciate ligament reconstruction (ACLR) is one of the most common orthopaedic surgical procedures performed worldwide, 1 but failures still account for 3 to 24% of primary reconstructions, requiring revision surgical procedures. 2 Evidence describes a rate of revision ACLR of 1.7 to 7.7% with less favorable expected clinical outcome compared with primary ACLRs possibly leading to degenerative changes in the knee biomechanics. 3 4 5 6 7 8 Therefore, it is important to restore knee native anatomy and kinematics to prevent the risk of rerevisions which account for up to 9% of revision ACLR surgery.…”

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confidence: 99%

Computer Patient-Specific 3D Modeling and Custom-Made Guides for Revision ACL Surgery

Del Prete,

Franco,

Innocenti

et al. 2024

J Knee Surg

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Introduction: Revision Anterior cruciate ligament reconstruction (ACLR) is a challenging surgery occurring in 3-24% of primary reconstructions. A meticulous planning to study the precise size and location of both femoral and tibial bone tunnels is mandatory. The aim of the study was to evaluate the intra- and inter-operator differences in the decision-making process between experienced surgeons after they were asked to make pre-operative planning for ACL revision reconstruction with the use of both the CT scan and a 3D printed model of the knee. Materials and methods: Data collected from 23 consecutive patients undergoing revision of ACLR for graft failure at a single Institute between September 2018 and February 2020 were prospectively reviewed. The double-blinded collected data were presented to three board-certificate attending surgeons. Surgeons were asked to decide whether to perform one-stage or two-stage revision ACLR based on the evaluation of the CT scan images and the 3D printed custom-made models at two different rounds, T0 and T1 respectively, seven days apart one from the other. Results: Inter-operator consensus following technical mistake was 52% at T0 and 56% at T1 using the CT scans, meanwhile concordance was 95% at T0 and 94% at T1 using the 3D models. Concordance between surgeons following new knee injury was 66% at T0 and 70% at T1 using CT scans, while concordance was 96% both at T0 and T1 using 3D models. Intra-operative variability using 3D models was extremely low: concordance at T0 and T1 was 98%. McNamar test showed a statistical significance in the use of 3D model for preoperative planning (p < 0.005). 3D printed model reliability resulted to be higher compared to CT as intra-operator surgery technique selection was not modified throughout time from T0 to T1 (p < 0.005). Conclusion: The use of 3D printed models had the most impact when evaluating femoral and tibial tunnels, resulting to be a useful instrument during pre-operative planning of revision ACLR between attending surgeons with medium-high workflow.

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All-Arthroscopic Meniscal Allograft Transplantation Technique with Bone Plugs and Preloaded Sutures

Cited by 5 publications

References 30 publications

Anterior cruciate ligament failure and management

Anterior cruciate ligament failure and management

A Case Report of a National Judo Champion: Is Return to High-Level Contact Sports Possible After Meniscus Allograft Transplantation?

Computer Patient-Specific 3D Modeling and Custom-Made Guides for Revision ACL Surgery

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