Medial Meniscal Allograft Transplantation: The Bone Plug Technique

Dean, Chase S.; Olivetto, Javier; Chahla, Jorge; Cruz, Raphael Serra; LaPrade, Robert F.

doi:10.1016/j.eats.2016.01.004

Cited by 14 publications

(13 citation statements)

References 24 publications

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“…For press-fit fixation, the bone block, which is attached to the meniscal allograft roots, is pushed into the trough [ 19 ]. In contrast, for medial MAT, two small bone plugs, which are attached to the anterior and posterior root of the medial meniscal allograft, are inserted into the respective tibial bone tunnel and fixed in a transtibial pull-out fashion [ 62 ]. Additional soft tissue fixation is performed utilizing inside-out, outside-in or all-inside meniscal sutures, as appropriate.…”

Section: Principles Of Meniscal Substitutionmentioning

confidence: 99%

Meniscal substitution, a developing and long-awaited demand

et al. 2020

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The menisci represent indispensable intraarticular components of a well-functioning knee joint. Sports activities, traumatic incidents, or simply degenerative conditions can cause meniscal injuries, which often require surgical intervention. Efforts in biomechanical and clinical research have led to the recommendation of a meniscus-preserving rather than a meniscusresecting treatment approach. Nevertheless, partial or even total meniscal resection is sometimes inevitable. In such circumstances, techniques of meniscal substitution are required. Autologous, allogenic, and artificial meniscal substitutes are available which have evolved in recent years. Basic anatomical and biomechanical knowledge, clinical application, radiological and clinical outcomes as well as future perspectives of meniscal substitutes are presented in this article. A comprehensive knowledge of the different approaches to meniscal substitution is required in order to integrate these evolving techniques in daily clinical practice to prevent the devastating effects of lost meniscal tissue.

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Section: Principles Of Meniscal Substitutionmentioning

confidence: 99%

Meniscal substitution, a developing and long-awaited demand

et al. 2020

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“…Most commonly, separate anterior and posterior bone plug fixation with transtibial suture fixation or a bone-bridge (i.e., trough or bone-in-slot) techniques with interference fit/ interference screw fixation are utilized. 61,62 For peripheral fixation of the meniscal transplant, a combination of allinside, inside-out, and outside-in approaches are utilized for secure transplantation of a size-matched allograft.…”

Section: Surgical Techniquementioning

confidence: 99%

Diagnosing Meniscal Pathology and Understanding How to Evaluate a Postoperative Meniscus Based on the Operative Procedure

et al. 2018

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Magnetic resonance imaging (MRI) represents the preferred noninvasive imaging technique to diagnose meniscal pathology in the pre- and postoperative setting. Furthermore, characterization of meniscal tissue MR properties has been possible by the development of advanced MRI techniques. Suspected meniscal tears are a frequent indication for MRI and the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) classification system has been developed to facilitate accurate and uniform reporting of such meniscal tears. Partial meniscectomy and meniscal suture repair are among the commonly performed procedures and several signs have been described to detect postoperative recurrent tears on MRI. Other techniques that have proven useful for meniscal assessment are ultrasound (US) and computed tomography (CT) arthrography. In recent years, US is being increasingly used in the selective assessment of some meniscal pathology such as tears, parameniscal cysts and meniscal extrusion as it is a relatively inexpensive, accessible, and safe technique. CT arthrography has been advocated as an acceptable alternative in patients with contraindications for MRI, with comparable diagnostic performance.

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“… 21 This method has a reported size mismatch of less than 5%, and its use has previously been described for medial meniscus allograft transplantation using a bone plug technique. 22 …”

Section: Surgical Techniquementioning

confidence: 99%

Lateral Meniscus Allograft Transplantation: The Bone Plug Technique

Woodmass

Johnson

Levy

et al. 2017

Arthroscopy Techniques

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Lateral meniscus tears are commonly encountered by orthopaedic surgeons. Despite efforts to repair and preserve the meniscus, meniscectomy is occasionally required to treat irreparable tears. The resulting lateral meniscus deficiency leads to increased tibiofemoral contact pressures and ultimately early osteoarthritic changes in the knee. Lateral meniscal allograft transplant (LMAT) has been proposed as a way to restore the lateral meniscus–deficient knee to its native form. Although several techniques for LMAT have been proposed, osseous fixation has demonstrated increased stability, improved outcomes, and improved long-term survival. This article presents a technique for LMAT using bone plugs and standard arthroscopic portals.

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Medial Meniscal Allograft Transplantation: The Bone Plug Technique

Cited by 14 publications

References 24 publications

Meniscal substitution, a developing and long-awaited demand

Meniscal substitution, a developing and long-awaited demand

Diagnosing Meniscal Pathology and Understanding How to Evaluate a Postoperative Meniscus Based on the Operative Procedure

Lateral Meniscus Allograft Transplantation: The Bone Plug Technique

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