Segmental Meniscus Allograft Transplantation

Meniscal tears treated with partial meniscectomies have been shown to significantly increase contract pressures within the tibiofemoral joint, and a complete focal meniscal deficiency may render the entirety of the meniscus functionally incompetent. Although various techniques of meniscal transplant...

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Main Authors: Max N. Seiter, M.D., Daniel B. Haber, M.D., Joseph J. Ruzbarsky, M.D., Justin W. Arner, M.D., Annalise M. Peebles, B.A., CPTM.D., M.C., U.S.N.R. Matthew T. Provencher, B.A.
Format: Article
Language:English
Published: Elsevier 2021-03-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720303418
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author Max N. Seiter, M.D.
Daniel B. Haber, M.D.
Joseph J. Ruzbarsky, M.D.
Justin W. Arner, M.D.
Annalise M. Peebles, B.A.
CPTM.D., M.C., U.S.N.R. Matthew T. Provencher, B.A.
author_facet Max N. Seiter, M.D.
Daniel B. Haber, M.D.
Joseph J. Ruzbarsky, M.D.
Justin W. Arner, M.D.
Annalise M. Peebles, B.A.
CPTM.D., M.C., U.S.N.R. Matthew T. Provencher, B.A.
author_sort Max N. Seiter, M.D.
collection DOAJ
description Meniscal tears treated with partial meniscectomies have been shown to significantly increase contract pressures within the tibiofemoral joint, and a complete focal meniscal deficiency may render the entirety of the meniscus functionally incompetent. Although various techniques of meniscal transplantation have been described, these techniques may require the excision of a considerable amount of healthy meniscal tissue. Furthermore, failures continue to frequently occur. Therefore, attempts to restoring normal knee kinematics and biomechanical forces are essential. Segmental meniscus allograft transplantations may offer the advantage of a robust repair by both maintaining knee biomechanics and biology while maximizing preservation of native meniscal tissue. Also, most meniscal deficiency involves only a portion of the meniscus, and thus we developed this technique to segmentally transplant only the deficient portion. The purpose of this Technical Note is to describe a technique of segmental medial meniscus allograft transplantation in a patient with focal medial meniscus deficiency.
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spelling doaj.art-2abe12f12c2745cf9e419a1f9264608a2022-12-21T22:37:00ZengElsevierArthroscopy Techniques2212-62872021-03-01103e697e703Segmental Meniscus Allograft TransplantationMax N. Seiter, M.D.0Daniel B. Haber, M.D.1Joseph J. Ruzbarsky, M.D.2Justin W. Arner, M.D.3Annalise M. Peebles, B.A.4CPTM.D., M.C., U.S.N.R. Matthew T. Provencher, B.A.5The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Address correspondence to CAPT Matthew T. Provencher, M.D., M.C., U.S.N.R., 181 West Meadow Drive, Suite 400, Vail, CO 81657, U.S.A.Meniscal tears treated with partial meniscectomies have been shown to significantly increase contract pressures within the tibiofemoral joint, and a complete focal meniscal deficiency may render the entirety of the meniscus functionally incompetent. Although various techniques of meniscal transplantation have been described, these techniques may require the excision of a considerable amount of healthy meniscal tissue. Furthermore, failures continue to frequently occur. Therefore, attempts to restoring normal knee kinematics and biomechanical forces are essential. Segmental meniscus allograft transplantations may offer the advantage of a robust repair by both maintaining knee biomechanics and biology while maximizing preservation of native meniscal tissue. Also, most meniscal deficiency involves only a portion of the meniscus, and thus we developed this technique to segmentally transplant only the deficient portion. The purpose of this Technical Note is to describe a technique of segmental medial meniscus allograft transplantation in a patient with focal medial meniscus deficiency.http://www.sciencedirect.com/science/article/pii/S2212628720303418
spellingShingle Max N. Seiter, M.D.
Daniel B. Haber, M.D.
Joseph J. Ruzbarsky, M.D.
Justin W. Arner, M.D.
Annalise M. Peebles, B.A.
CPTM.D., M.C., U.S.N.R. Matthew T. Provencher, B.A.
Segmental Meniscus Allograft Transplantation
Arthroscopy Techniques
title Segmental Meniscus Allograft Transplantation
title_full Segmental Meniscus Allograft Transplantation
title_fullStr Segmental Meniscus Allograft Transplantation
title_full_unstemmed Segmental Meniscus Allograft Transplantation
title_short Segmental Meniscus Allograft Transplantation
title_sort segmental meniscus allograft transplantation
url http://www.sciencedirect.com/science/article/pii/S2212628720303418
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