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Meniscal transplantation: procedures, outcomes, and rehabilitation

Authors Young J, Tudor F, Mahmoud A, Myers P

Received 6 July 2016

Accepted for publication 6 March 2017

Published 15 May 2017 Volume 2017:9 Pages 35—43

DOI https://doi.org/10.2147/ORR.S94378

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 2

Editor who approved publication: Professor Clark Hung


James Young, Francois Tudor, Ahmed Mahmoud, Peter Myers

Brisbane Orthopaedic & Sports Medicine Centre, Brisbane Private Hospital, Spring Hill, Brisbane, Queensland, Australia

Abstract: Meniscal allograft transplantation (MAT) is a possible treatment option for patients with joint pain after meniscectomy. It is necessary that the joint be aligned and stable. Current evidence shows that MAT improves pain and mechanical function in the mid to long term with patients reporting significantly improved outcomes at up to 15 years following surgery. Studies on survivorship showed up to 76% graft survival at 10 years. Recent studies have suggested a chondroprotective effect, but there is, at present, no evidence to support MAT in the prevention of osteoarthritis. This review article reported the current evidence for MAT showing support for fresh frozen, nonirradiated allografts. However, further research is required to determine the ideal indications for MAT, the optimal graft fixation method, and the safest rehabilitation protocol.

Keywords: meniscus, meniscectomy, meniscal allograft transplantation

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