2019 ISAKOS Biennial Congress ePoster #1014
Obesity and Meniscal Transplant Failure: A Retrospective Cohort Study
Alejandro Espejo-Reina, MD, MSc, Málaga, Málaga SPAIN
Carlos Jiménez, MD, Málaga, Málaga SPAIN
Abel Gómez, Málaga, Málaga SPAIN
María Josea Espejo-Reina, MD, Málaga, Málaga SPAIN
José M. Serrano-Fernández, MD, Málaga, Málaga SPAIN
Maria Belen Martín-Castilla, MD, Málaga, Málaga SPAIN
Joaquina Ruiz-Del Pino, MD, PhD, Málaga, Málaga SPAIN
Alejandro Espejo-Baena, MD, Málaga, Málaga SPAIN
Jaime Dalla Rosa Nogales, MSC, Málaga, Málaga SPAIN
Iskandar Tamimi-Mariño, MD, PhD, Málaga, Málaga SPAIN
Clínica Espejo, Málaga, Málaga, SPAIN
FDA Status Not Applicable
Obesity increases meniscal allograft transplant failure rates.
to analyze the effect of obesity and other clinical factors on the outcome of meniscal allograft transplantation (MAT) with transosseous fixation.
a retrospective cohort study was carried out. Patients who had undergone MAT were included. The variables assessed were: age at the time of the transplant, side, gender, transplanted meniscus (lateral / medial), body mass index (BMI), smoking status and previous surgeries. Lysholm, Tegner and IKDC test outcomes, and patient satisfaction were recorded. Image assessment was carried out using plain standing X-Rays and MRI.
34 patients fulfilled the inclusion criteria. The mean follow-up time was of 73.1 SD 45 months. Patients with a BMI > 30 underwent more frequently medial meniscal transplants (88.9 %; p=0.047). Obese patients had a significantly lower IKDC (48.6 SD 19.9 vs. 62.2 SD 13.0, p= 0.044, power: 47.5%) and Lysholm (60.3 Sd 19.2 vs. 80.0 SD 13.0, p= 0.002, power: 91.3%) scores compared with non-obese patients. The satisfaction and Tegner scores were also lower in obese patients (55.6 % vs 80.0, p=0.201, and 2.8 SD 1.0 vs. 3.8 SD 1.9, p=0.151, respectively); however, these differences were not statistically significant. Obese patients had higher rates of meniscal transplant failure compared to non-obese patients (adjusted hazard ratio 5.4, CI 95% 1.1-29.1, p). No differences were observed between obese and non-obese patients regarding age, gender, side, smoking status, and follow-up time
A BMI > 30 kg/m2 is associated with a higher risk of MAT failure. Moreover, better knee functional results in non-obese patients compared to obese individuals following a MAT were found.
Level of evidence: III. Retrospective cohort study.