Summary: the bone trough technique meniscal allograft transplantation is the known and first choice for lateral meniscal allograft transplantation with better bone healing and less complications. in this paper we reported the clinical outcome of the Novel bone trough technique for medial meniscal allograft transplantation with less rate of complications.

Purpose

Restoring knee functionality and decreasing the risk of osteoarthritis are paramount following meniscus allograft transplantation (MAT). Three fixation techniques (soft-tissue, bone plug, and the bone trough technique) have been employed for this procedure. For lateral meniscus allograft transplantation (LMAT), the bone trough technique has proven superior. The purpose of this surgical technique description was to describe our method of medial meniscus allograft transplantation (MMAT) using the bone trough technique, while simultaneously evaluating patient outcomes before and after the procedure.

Methods

13 patients (mean age, 34.12 ± 8.86; 8 female and 5 male) undergoing a MMAT were evaluated using clinical surveys to determine functional outcomes. Evaluation was achieved using three surveys: Western Ontario and McMaster Osteoarthritis Index (WOMAC), International Knee Documentation Committee (IKDC), and the Tegner Lysholm Knee Scoring Scale (Lysholm) evaluated before MMAT and at final follow-up.

Results

Comparison of each survey at time point one (prior to MMAT) and time point two (at final follow-up) revealed improvement in functional outcomes using the WOMAC, IKDC, and Lysholm surveys (P < 0.001). Functional outcomes based on the WOMAC survey improved from 59.31 ± 14.58 prior to MMAT to 9.77 ± 6.29 at final follow-up (83% improvement). Functional outcomes based on the IKDC survey improved from 42.62 ± 7.33 prior to MMAT to 63.54 ± 7.63 at final follow-up (49% improvement). Functional outcomes based on the Lysholm survey improved from 27.62 ± 15.38 prior to MMAT to 86.62 ± 13.02 at final follow-up (400% improvement).

Conclusion

Based on the considerable improvement using three separate clinical surveys for evaluating functional outcomes of the knee after a surgical procedure, the bone trough technique for MMAT is a reasonable procedure. Using the bone trough technique was no associated with any major complication or graft failure.

Result

Medial Meniscus Allograft Transplantation Using Bone Trough Technique (n=13)
Knee Scoring Scale Preoperative Follow-up % Change P
WOMAC 59.31 ± 14.58 9.77 ± 6.29 83.5 <0.001
IKDC 42.62 ± 7.33 63.54 ± 7.63 49.1 <0.001
Lysholm 27.62 ± 15.38 86.62 ± 13.02 414 <0.001

The group receiving medial meniscal allograft transplants was comprised of thirteen patients, with a mean age of 34.12 (range: 22.22-50.48) and BMI of 25.25 (range: 20.50 – 32.00), five males, and eight females, with a mean follow up time of 85 months. One male in this group was not an athlete (8%). Six patients in this group had previous surgeries (prior meniscal transplant, prior ACL reconstruction, prior repair of defect of medial femoral condyle, chondroplasty) on their affected knee with the following complications: pain, MRSA infection, posttraumatic osteoarthritis.
Thirteen medial meniscus allograft transplants were performed using the bone trough technique. Outcomes of this procedure were evaluated using three different knee scoring scales: WOMAC, IKDC, and Lysholm.
There were statistically significant improvements in all three knee scoring scales. The mean WOMAC score showed significant improvement from 59.31 ± 14.58 during the preoperative stage to 9.77 ± 6.29 at follow-up. The mean IKDC score showed significant improvement from 42.62 ± 7.33 during the preoperative stage to 63.54 ± 7.63 at follow-up. The mean Lysholm score showed significant improvement from 27.62 ± 15.38 during the preoperative stage to 86.62 ± 13.02 at follow-up.

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Medial Meniscus Repair only Partially Restores In-Vivo Knee Kinematics after ACL Reconstruction ePoster Presentation Alberto Grassi, PhD, ITALY Piero Agostinone, MD, ITALY Stefano Di Paolo, Eng, ITALY Gian Andrea Lucidi, MD, ITALY Erika Pinelli, MsC, ITALY Gregorio Marchiori, MD, ITALY Marco Bontempi, PhD, ITALY Laura Bragonzoni, Prof., ITALY Stefano Zaffagnini, MD, Prof., ITALY
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"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
Clinical Outcomes After the Repair of Isolated Full Radial Tear at Midbody of Lateral Meniscus - All-Inside Suture Repair vs Trans-Capsular Suture Repair - ePoster Presentation Ryohei Uchida, MD, PhD, JAPAN Shuji Horibe, MD, PhD, JAPAN Yoshinari Tanaka, MD, PhD, JAPAN Kazutaka Kinugasa, MD, PhD, JAPAN Yuta Tachibana, M.D., Ph.D., JAPAN Akira Tsujii, MD, PhD, JAPAN Konsei Shino, MD, PhD, JAPAN
Meniscal Ramp Lesion, A Contact Characteristic Analysis In Cadaver ePoster Presentation Artit Boonrod, MD, THAILAND Khananut Jaruwanneechai, MD, THAILAND Sermsak Sumanont, MD, THAILAND Nadhaporn Saengpetch, MD, THAILAND
Mid-Term Clinical And Radiological Outcomes of Lateral Meniscal Allograft Transplantation With Suture-Only Fixation Plus Capsulodesis ePoster Presentation Àngel Masferrer-Pino, MD PhD, SPAIN Rodolfo Morales-Avalos, MD, PhD., MEXICO Maximiliano Ibañez, MD, SPAIN Simone Perelli, MD,PhD, SPAIN Pablo E. Gelber, MD, PhD, SPAIN Joan Carles Monllau, MD, PhD, Prof., SPAIN
Etiology of Posterior Meniscus Root Tears: Medial vs. Lateral ePoster Presentation Katrin Karpinski, MD, GERMANY Philipp Forkel, MD, GERMANY Martin Häner, MD, GERMANY Wolf Petersen, MD, Prof, GERMANY
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Posterior Cruciate Buckling Angle Variations are Associated With Different Patterns of Medial Meniscus Tears in Anterior Cruciate Deficient Knees: Results of a Prospective Comparative Magnetic Imaging Resonance Study ePoster Presentation Simone Cerciello , DR, ITALY Gianluca Ciolli, MD, ITALY Dario Candura, ITALY Michele Mercurio, Prof., MD, ITALY Fabrizio Mocini, MD, ITALY Lorenzo Proietti, MD, ITALY
Knee Cartilage and Meniscus in Recreational marathon runners: a MRI T2 * mapping investigation ePoster Presentation Siyu Dai, PhD, CHINA Feng Chen, PhD, CHINA Dingbo Shu, MD, CHINA Fanjing Meng, MD, CHINA Le Wang, MD, CHINA Yanjing Zhang, MD, CHINA Jianping Ding, MD, CHINA
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
Clinical Performance of an All-inside Meniscal Repair Device: A Systematic Literature Review with Meta-Analysis ePoster Presentation Darren L. Johnson, MD, UNITED STATES Paul Souter, BSc, PhD, UNITED KINGDOM Matthew Sedgwick, Ph.D., UNITED KINGDOM
Accuracy of Magnetic Resonance Imaging for Detecting Meniscal Tears in Anterior Cruciate Ligament injuries. ePoster Presentation Artit Boonrod, MD, THAILAND Watcharapong Wongsawiang , MD, THAILAND Punthip Thammaroj , MD, THAILAND Sermsak Sumanont, THAILAND Punyawat Apiwatanakul, MD, THAILAND Arunnit Boonrod, MD, THAILAND
Virtual Reality Simulation is Valuable for Arthroscopic Diagnosis and Meniscectomy: A Transfer Validity Study of 36 Residents ePoster Presentation Alexandre Tronchot, MD PhD, FRANCE Tiphaine Casy, PhD, FRANCE Nicolas Vallee, MD, FRANCE Harold Common, MD, FRANCE Hervé Thomazeau, PR, FRANCE Pierre Jannin, PhD, FRANCE Arnaud Huaulme, PhD, FRANCE
Predictors of Patient-Reported Outcomes After Anterior Cruciate Ligament Reconstruction With Concurrent Treatment of Bucket-Handle Meniscus Tears ePoster Presentation Gregory Perraut, MD, UNITED STATES Rachel E Cherelstein, BS, UNITED STATES Alexandra Galel, MD, UNITED STATES Laura Keeling, MD, UNITED STATES Christopher M Kuenze, PhD, UNITED STATES Andrew Curley, MD, UNITED STATES David X. Wang, MD, UNITED STATES Kaitlin A Malekzadeh, , UNITED STATES Edward S. Chang, MD, UNITED STATES

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Medial Meniscus Allograft Transplantation: Is the Bone Trough Technique a Reasonable Procedure?

Medial Meniscus Allograft Transplantation: Is the Bone Trough Technique a Reasonable Procedure?

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Medial Meniscus Allograft Transplantation: Is the Bone Trough Technique a Reasonable Procedure?

Medial Meniscus Allograft Transplantation: Is the Bone Trough Technique a Reasonable Procedure?

Purpose

Methods

Results

Conclusion

More 2023 ISAKOS Congress Content