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Meniscal transplantation: state of the art
  1. Pablo E Gelber1,2,
  2. Peter Verdonk3,
  3. Alan M Getgood4,
  4. Juan C Monllau2,5
  1. 1Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
  2. 2ICATME-Hospital Universitari Dexeus, Universitat Autònoma de Barcelona, Barcelona, Spain
  3. 3Antwerp Orthopedic Center, Monica Hospitals, Antwerp, Belgium
  4. 43M Centre, University of Western Ontario, London, Ontario, Canada
  5. 5Parc de Salut Mar, Universitat Autònoma de Barcelona, Barcelona, Spain
  1. Correspondence to Dr Pablo E Gelber, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Sant Quintí 89, Barcelona 08041, Spain; personal{at}drgelber.com

Abstract

Meniscal resection is the most common surgical procedure in orthopaedics. When a large meniscal loss becomes clinically relevant, meniscal allograft transplantation (MAT) is a feasible option. However, although this technique has evolved since the ‘80s, there are still several controversial issues related to MAT. Most importantly, its chondroprotective effect is still not completely proven. Its relatively high complication and reoperation rate is another reason for this procedure not yet being universally accepted. Despite its controversial chondroprotective effect, nevertheless, MAT has become a successful treatment for pain localised in a previously meniscectomised knee, in terms of pain relief and knee function. We conducted a careful review of the literature, highlighting the most relevant studies in various aspects of this procedure. Precise indications, how it behaves biomechanically, surgical techniques, return to sport and future perspectives are among the most relevant topics that have been included in this state-of-the-art review.

  • meniscus
  • transplantation
  • knee
  • arthroscopy

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Footnotes

  • Contributors All the authors have actively participated in the writing and research of the manuscript.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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