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Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation

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Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation

Seong-Il Bin, MD, PhD, KOREA, REPUBLIC OF Jong-Min Kim, MD, PhD, KOREA, REPUBLIC OF Bum-Sik Lee, MD, KOREA, REPUBLIC OF seonjong Lee, MD, KOREA, REPUBLIC OF Ju-Ho Song, MD, KOREA, REPUBLIC OF Ho Yeon Kim, MD, KOREA, REPUBLIC OF Jaejung Ryu, MD, KOREA, REPUBLIC OF

University of Ulsan, College of Medicine, Asan Medical Center, Seoul , KOREA, REPUBLIC OF

2023 Congress ePoster Presentation 2023 Congress Not yet rated

Anatomic Location

Knee

Anatomic Structure

Meniscus Medial

Diagnosis / Condition

Tears

Treatment / Technique

Allograft

Diagnosis Method

MRI

Sports Medicine

Research

Summary: Low-grade ICRS lesion is associated with higher anatomical survival rate after medial MAT.

Background

There is a lack of data regarding the survival rate following medial meniscus allograft (MAT) alone. Furthermore, there is little information about prognostic factors for graft survival that impact the outcomes of medial MAT.

Purpose

To investigate the prognostic factors and survival rate of allograft after medial MAT.

Methods

The records of 78 consecutive patients who underwent primary medial MAT between 1996 and 2018 were reviewed. Kaplan-Meier survival analysis was performed to analyze the anatomical and clinical survival rates. Anatomical failure was defined as a tear covering more than 50% of the allograft or unstable peripheral rim. Clinical failure was considered Lysholm score <65 or need for additional surgery such as meniscal repair, revision MAT, realignment osteotomy, and meniscectomy for more than 50% of the allograft. Patient factors affecting anatomical and clinical failure were analyzed.

Results

The mean follow-up period was 6.9±5.3 years (range, 2-21 years). Anatomical failure was noted in 19 patients (24.4%) and none of these patients had a persistent poor Lysholm score of <65; of these, 2 patients who underwent meniscal repair also had clinical failure. Clinical failure was noted in 7 patients (9.0%); 4 patients had Lysholm score <65, 2 patients underwent meniscal repair, and 1 patient underwent realignment osteotomy. The estimated 10-year anatomical and clinical survival rates were 73.89% and 87.90%, respectively. Anatomical survival was significantly affected only by high-grade ICRS lesion (ICRS grade 3 or 4) (HR=3.171, 95% CI=1.124-8.944, P=0.029). However, the clinical survival rate was not significantly affected by any factors. Patients with low-grade ICRS lesion (ICRS grade 0, 1 or 2) showed a higher estimated 10-year anatomical survival rate compared with patients with high-grade ICRS lesions. (87.6% vs. 63.3%, P=0.022).

Conclusion

Low-grade ICRS lesion is associated with higher anatomical survival rate after medial MAT. In patients with high-grade ICRS lesions, the clinical outcome might be good; however, the status of an allograft might be poor. The surgeon should be aware of this and explain to the patient that close observation is necessary.

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Delaying ACL Reconstruction Increases the Risk of Medial Meniscal Tear ePoster Presentation Julien Erard, MD, FRANCE Nicolas Cance, MD, FRANCE Jobe Shatrov, MD, AUSTRALIA Gaspard Fournier, MD, FRANCE Stanislas Gunst, MD, FRANCE Gianluca Ciolli, MD, ITALY Pasquale Porcelli, MD, ITALY Sebastien Lustig, MD, PhD, Prof., FRANCE Elvire Servien, MD, PhD, Prof., FRANCE
Lateral Meniscus Root Tear in ACL-Injured Patients Results In High-Grade Rotatory Knee Laxity: A Quantitative Pivot Shift Analysis ePoster Presentation Bálint Zsidai, MD, SWEDEN Gian Andrea Lucidi, MD, ITALY Ryosuke Kuroda, MD, PhD, JAPAN James J. Irrgang, PT, PhD, FAPTA, UNITED STATES Kristian Samuelsson, Prof, MD, PhD, MSc, SWEDEN Stefano Zaffagnini, MD, Prof., ITALY Volker Musahl, MD, Prof., UNITED STATES
"Repair Or Resect? That Is The Question!" Inside-Out Repair Of Long Meniscus Tears Is Used to Identify Prognostic Factors and Improve Decision-Making ePoster Presentation Iftach Hetsroni, MD, Associate Prof., ISRAEL Yakir Carmeli, B.Ed., ISRAEL Shiri Bretter, M.ed, ISRAEL Gabriel Marino, MD, ISRAEL Ayelet Gonen-Vonkler, BA, ISRAEL Altaieb Agbaria, MD, ISRAEL Gideon Mann, MD, Prof., ISRAEL Nissim Ohana, MD, ISRAEL Moshe Ayalon, PhD, ISRAEL

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Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation

Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation

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Purpose

Methods

Results

Conclusion

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Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation

Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation

Background

Purpose

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content