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J Am Acad Orthop Surg, Vol 14, No 3, March 2006, 164-174.
© 2006 the American Academy of Orthopaedic Surgeons
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Meniscal Allograft Transplantation

Jon K. Sekiya, MD and Christopher I. Ellingson, MD

Dr. Sekiya is Assistant Professor, University of Pittsburgh Medical Center, Center for Sports Medicine, Pittsburgh, PA. Dr. Ellingson is Lieutenant Commander, Medical Corps, United States Navy, Bone and Joint/Sports Medicine Institute, Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, VA.

The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, Department of Defense, or the United States Government.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Sekiya and Dr. Ellingson.

Reprint requests: Dr. Sekiya, University of Pittsburgh Medical Center, Center for Sports Medicine, 3200 S Water Street, Pittsburgh, PA 15203.

Meniscal allograft transplantation is a reasonable treatment option for the young patient with symptomatic meniscal deficiency. Although clinical results are promising, in most studies only mixed procedures have been performed, with short- or medium-term follow-up. Important potential prognostic factors include patient selection, severity of degenerative changes, limb stability and alignment, graft sizing and processing methods, graft placement, and graft fixation. The use of meniscal allograft transplantation should be considered a salvage operation for the difficult clinical dilemma of meniscal deficiency in young patients. Nonetheless, in carefully selected patients, this procedure can predictably relieve compartmental symptoms, and, in conjunction with anterior cruciate ligament reconstruction, restore knee stability. In addition, the partial restoration of meniscal function provided by this procedure may slow the degenerative arthritic process.




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L. J.-P. H. Rue, A. B. Yanke, M. L. Busam, A. G. McNickle, and B. J. Cole
Prospective Evaluation of Concurrent Meniscus Transplantation and Articular Cartilage Repair: Minimum 2-Year Follow-Up
Am. J. Sports Med., September 1, 2008; 36(9): 1770 - 1778.
[Abstract] [Full Text] [PDF]


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