The future of meniscus science: international expert consensus

Abstract Purpose The purpose of this study was to evaluate the main focus areas for research and development for furthering the state of meniscus science in 2021. Methods An electronic survey including 10 questions was sent in a blind fashion to the faculty members of the 5thInternational Conference...

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Main Authors: Nicholas N. DePhillipo, Robert F. LaPrade, Stefano Zaffagnini, Caroline Mouton, Romain Seil, Philippe Beaufils
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Journal of Experimental Orthopaedics
Subjects:
Online Access:https://doi.org/10.1186/s40634-021-00345-y
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author Nicholas N. DePhillipo
Robert F. LaPrade
Stefano Zaffagnini
Caroline Mouton
Romain Seil
Philippe Beaufils
author_facet Nicholas N. DePhillipo
Robert F. LaPrade
Stefano Zaffagnini
Caroline Mouton
Romain Seil
Philippe Beaufils
author_sort Nicholas N. DePhillipo
collection DOAJ
description Abstract Purpose The purpose of this study was to evaluate the main focus areas for research and development for furthering the state of meniscus science in 2021. Methods An electronic survey including 10 questions was sent in a blind fashion to the faculty members of the 5thInternational Conference on Meniscus Science and Surgery. These faculty served as an expert consensus on the future of research and development areas of meniscus science. Survey responses were analyzed using descriptive statistics and ranking weighted averages were calculated to score survey questions. Results Of the 82 faculty, 76 (93%) from 18 different countries completed the survey (84% male, 16% female). The highest ranked future research and development focus areas were meniscus repair, biologics, osteotomy procedures, addressing meniscus extrusion, and the development of new therapies for the prevention of posttraumatic osteoarthritis. Currently, the most ‘valuable’ type of biologic reported for meniscus treatment was platelet‐rich plasma. The main reported global research limitation was a lack of long‐term clinical outcomes data. The most promising emerging medical technologies for improving meniscus science were 3‐D printing, personalized medicine, and artificial implants. Conclusions This survey suggests that the future of meniscus science should be focused on meniscal preservation techniques through meniscus repair, addressing meniscal extrusion, and the use of orthobiologics. The lack of long‐term clinical outcomes was the main reported research limitation globally for meniscus treatment. Future product development utilizing emerging medical technologies suggest the use of 3‐D printing for meniscal transplants/scaffolds, personalized treatment, and bioengineering for artificial implants. Level of Evidence Level V.
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spelling doaj.art-7b662c1af3374bfba3d15c331dd69c1a2024-02-07T15:16:41ZengWileyJournal of Experimental Orthopaedics2197-11532021-01-0181n/an/a10.1186/s40634-021-00345-yThe future of meniscus science: international expert consensusNicholas N. DePhillipo0Robert F. LaPrade1Stefano Zaffagnini2Caroline Mouton3Romain Seil4Philippe Beaufils5Oslo Sports Trauma Research Center4014 Ulleval Stadion0806OsloNorwayTwin Cities OrthopedicsEdinaMNUSARizzoli Orthopedic Institutes of BolognaBolognaItalyDepartment of Orthopaedic SurgeryCentre Hospitalier de LuxembourgClinique d’EichLuxembourg cityLuxembourgDepartment of Orthopaedic SurgeryCentre Hospitalier de LuxembourgClinique d’EichLuxembourg cityLuxembourgCentre Hospitalier de VersaillesVersaillesFranceAbstract Purpose The purpose of this study was to evaluate the main focus areas for research and development for furthering the state of meniscus science in 2021. Methods An electronic survey including 10 questions was sent in a blind fashion to the faculty members of the 5thInternational Conference on Meniscus Science and Surgery. These faculty served as an expert consensus on the future of research and development areas of meniscus science. Survey responses were analyzed using descriptive statistics and ranking weighted averages were calculated to score survey questions. Results Of the 82 faculty, 76 (93%) from 18 different countries completed the survey (84% male, 16% female). The highest ranked future research and development focus areas were meniscus repair, biologics, osteotomy procedures, addressing meniscus extrusion, and the development of new therapies for the prevention of posttraumatic osteoarthritis. Currently, the most ‘valuable’ type of biologic reported for meniscus treatment was platelet‐rich plasma. The main reported global research limitation was a lack of long‐term clinical outcomes data. The most promising emerging medical technologies for improving meniscus science were 3‐D printing, personalized medicine, and artificial implants. Conclusions This survey suggests that the future of meniscus science should be focused on meniscal preservation techniques through meniscus repair, addressing meniscal extrusion, and the use of orthobiologics. The lack of long‐term clinical outcomes was the main reported research limitation globally for meniscus treatment. Future product development utilizing emerging medical technologies suggest the use of 3‐D printing for meniscal transplants/scaffolds, personalized treatment, and bioengineering for artificial implants. Level of Evidence Level V.https://doi.org/10.1186/s40634-021-00345-yMeniscus repairOrthobiologicsMeniscal extrusionKnee osteotomyBiomechanicsPosttraumatic osteoarthritis
spellingShingle Nicholas N. DePhillipo
Robert F. LaPrade
Stefano Zaffagnini
Caroline Mouton
Romain Seil
Philippe Beaufils
The future of meniscus science: international expert consensus
Journal of Experimental Orthopaedics
Meniscus repair
Orthobiologics
Meniscal extrusion
Knee osteotomy
Biomechanics
Posttraumatic osteoarthritis
title The future of meniscus science: international expert consensus
title_full The future of meniscus science: international expert consensus
title_fullStr The future of meniscus science: international expert consensus
title_full_unstemmed The future of meniscus science: international expert consensus
title_short The future of meniscus science: international expert consensus
title_sort future of meniscus science international expert consensus
topic Meniscus repair
Orthobiologics
Meniscal extrusion
Knee osteotomy
Biomechanics
Posttraumatic osteoarthritis
url https://doi.org/10.1186/s40634-021-00345-y
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