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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Bone Bridge Technique For Lateral Meniscal Allograft Transplantation – No Difference In Clinical Outcome Compared To The Soft Tissue Technique ePoster Presentation Rahul Bhattacharyya, MBCHB (Hons), MD (Res), FRCS (Orth), MSc, MRCS, UNITED KINGDOM Harry Krishnan, FRCS(Tr&Orth),MEd(ULT), MBBS, BSc (Hons), UNITED KINGDOM Nicole Bausch, MSc physiotherapy and education, UNITED KINGDOM Adam Richard Pilarski, MBBS, MRCS, MBA, BA (hons), UNITED KINGDOM Niall McGoldrick, MB MCh FRCS (Tr & Orth), IRELAND Peter Thompson, MBChB, UNITED KINGDOM Andrew Metcalfe, PhD, UNITED KINGDOM Tim Spalding, FRCS(Orth), UNITED KINGDOM
Good Clinical Results And Patient Satisfaction After Arthroscopic Repair of Large Meniscus Bucket Handle Tears of the Knee ePoster Presentation Johannes Pawelczyk, cand. med., GERMANY Rainer Siebold, Prof. Dr. med., GERMANY
Biological Augmentation May Play A Role In Obtaining Superior Clinical Outcomes In Meniscal Root Repair With Concomitant Anterior Cruciate Ligament Reconstruction ePoster Presentation Lika Dzidzishvili, MD, SPAIN Irene Isabel López-Torres, MD, PhD, SPAIN David Sáez, MD, SPAIN Antonio Hernández Diez, MD, SPAIN Emilio Calvo, MD, PhD, MBA, SPAIN
Popliteomeniscal Fascicles Tears with Lateral Meniscus Instability: Outcomes of Arthroscopic Surgical Technique at Mid-Term Follow-Up ePoster Presentation Simone Cerciello, MD, ITALY Gianluca Ciolli, MD, ITALY Fabrizio Mocini, MD, ITALY Dario Candura, ITALY Lorenzo Proietti, MD, ITALY Roberto Simonetta, ITALY Katia Corona, MD, ITALY Gianni Di Vico, MD, ITALY
Predictors of The Ten-Year Patient-Reported Outcome Measures After Collagen Meniscus Implant (CMI) For Partial Meniscus Deficiency ePoster Presentation Alberto Grassi, PhD, ITALY Gian Andrea Lucidi, MD, ITALY Piero Agostinone, MD, ITALY Stefano Di Paolo, Eng, ITALY Giacomo Dal Fabbro, ITALY Nicola Pizza, MD, ITALY Marianna Viotto, ITALY Luca Ambrosini, MD, ITALY Stefano Zaffagnini, MD, Prof., ITALY
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
Anatomical Survival of the Graft After Medial Meniscal Allograft Transplantation is Better in Patients with Lower-Grade ICRS Lesions: MRI-Based Objective Evaluation ePoster Presentation 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
Meniscus Transplants Delay Arthroplasty in Patients Over 50 Years of Age ePoster Presentation Kevin R. Stone, MD, UNITED STATES Ann W. Walgenbach, RN, NP, MSN, UNITED STATES Shadera Slatter, MS, UNITED STATES Thomas J. Turek, PhD, UNITED STATES Caroline Ferguson-Dryden, BA, UNITED STATES Marie Dicker, BASc, UNITED STATES Emma Miltenberger, BS, UNITED STATES Riley Horn, BS, UNITED STATES Haley Cowles, BA, UNITED STATES Vivian Liu, BA, UNITED STATES Stephanie Wu, BS, UNITED STATES Mani Vessal, MA, PhD, UNITED STATES
Higher Signal Intensity of Repaired Lateral Meniscus on MRI Indicates the Risk Of Residual Rotatory Knee Laxity After ACL Reconstruction ePoster Presentation Daisuke Chiba, MD, PhD, JAPAN Yuji Yamamoto, MD, JAPAN Yuka Kimura, MD, PhD, JAPAN Eiji Sasaki, MD, PhD, JAPAN Takahiro Tsushima, MD, PhD, JAPAN Eiichi Tsuda, Prof., JAPAN Yasuyuki Ishibashi, MD, JAPAN
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

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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