Document Detail


Clinical outcomes following isolated lateral meniscal allograft transplantation.
MedLine Citation:
PMID:  16843814     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of our study was to determine the clinical outcomes following isolated lateral meniscal allograft transplantation. METHODS: Thirty-two patients were retrospectively reviewed following isolated lateral meniscal allograft transplantation. Twenty-five were available for subjective follow-up, and 17 were available for a complete physical examination and postoperative radiographs. The average duration of follow-up was 3.3 years (range, 2 to 6 years), and the average age of the subjects was 30 years (range, 19 to 45 years). In all, 17 patients had bony fixation and 8 had suture fixation of the anterior and posterior horns of the meniscal allograft. RESULTS: Ninety-six percent of patients believed that their overall function and activity level were improved following surgery. Short Form-36 (SF-36) physical and mental component summary scores for these subjects were higher than age- and sex-matched scores from the US population. Joint space narrowing of the transplanted lateral compartments was not significantly different when compared with the joint space narrowing of the lateral compartment of the contralateral knee. In addition, preoperative and postoperative radiographic joint space measurements of the involved lateral compartment were significantly associated with subjective assessment, symptoms, sports activity score, Lysholm score, and final International Knee Documentation Committee (IKDC) rating at latest follow-up. Finally, patients fixed with the bony technique had significantly better range of motion, according to IKDC criteria at latest follow-up, compared with the suture fixation group. CONCLUSIONS: Our results suggest that isolated meniscal allograft transplantation can be a beneficial procedure in properly selected symptomatic patients with a lateral meniscus-deficient knee. The data also suggest that earlier meniscal transplantation, before the onset of significant joint space narrowing, may result in improved outcomes. Finally, bony fixation may have a significant advantage over suture fixation, particularly with regard to knee range of motion. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
Authors:
Jon K Sekiya; Robin V West; Yram J Groff; James J Irrgang; Freddie H Fu; Christopher D Harner
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association     Volume:  22     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2006 Jul 
Date Detail:
Created Date:  2006-07-17     Completed Date:  2006-08-31     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  United States    
Other Details:
Languages:  eng     Pagination:  771-80     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA. harnercd@msx.upmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Arthralgia / surgery
Arthrography
Female
Follow-Up Studies
Health Status Indicators
Humans
Knee Joint / physiopathology,  radiography,  surgery*
Male
Menisci, Tibial / transplantation*
Middle Aged
Orthopedic Procedures* / methods
Patient Satisfaction
Quality of Life
Range of Motion, Articular
Recovery of Function
Retrospective Studies
Transplantation, Homologous
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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