| Clinical outcomes following isolated lateral meniscal allograft transplantation. | |
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MedLine Citation:
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PMID: 16843814 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jon K Sekiya; Robin V West; Yram J Groff; James J Irrgang; Freddie H Fu; Christopher D Harner |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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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:
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Created Date: 2006-07-17 Completed Date: 2006-08-31 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8506498 Medline TA: Arthroscopy Country: United States |
Other Details:
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Languages: eng Pagination: 771-80 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Naval Medical Center Portsmouth, Portsmouth, Virginia, USA. harnercd@msx.upmc.edu |
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| MeSH Terms | |
Descriptor/Qualifier:
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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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