Document Detail


Return to High-Level Sport After Meniscal Allograft Transplantation.
MedLine Citation:
PMID:  23375179     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: Our purpose was to determine the results of meniscal allograft transplantation (MAT) in high school and higher-level athletes, specifically with respect to return to their preinjury level of play. METHODS: This is a retrospective case series of prospectively collected data from a single surgeon, evaluating athletes who underwent MAT. Each patient participated in either high school, collegiate, or professional athletics before injury, with a mean preinjury Tegner score of 8. In addition, patients were only included if one of their stated preoperative goals was to return to their previous level of activity. Patients completed preoperative and postoperative validated knee surveys (Knee Injury and Osteoarthritis Outcome Score, International Knee Documentation Committee score, Lysholm score, and Tegner score) and underwent physical examinations. RESULTS: The mean age of the 13 included patients was 19.8 years, with a mean follow-up of 3.3 years (range, 1.9 to 5.7 years). After MAT, 10 of 13 patients (77%) returned to sporting activity. The mean Knee Injury and Osteoarthritis Outcome Score for the sport subset was 76 (SD, 18), the mean International Knee Documentation Committee score was 77 (SD, 14), and the mean Lysholm score was 81 (SD, 13). Of the 13 patients, 3 (23%) required further surgery, comprising one revision MAT, one partial meniscectomy, and one meniscal repair. CONCLUSIONS: In this small retrospective series, 77% of high school and higher-level athletes with meniscal deficiency and symptomatic "post-meniscectomy syndrome" returned to their desired level of play after MAT. These athletes also had significant improvements in most outcome measures. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
Authors:
Peter N Chalmers; Vasili Karas; Seth L Sherman; Brian J Cole
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-29
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:  -     ISSN:  1526-3231     ISO Abbreviation:  Arthroscopy     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-2-4     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506498     Medline TA:  Arthroscopy     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Orthopedic Surgery, Rush University Medical Center, Chicago, Illinois, U.S.A. Electronic address: p.n.chalmers@gmail.com.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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