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MINERVA ORTOPEDICA E TRAUMATOLOGICA
A Journal on Orthopedics and Traumatology
Minerva Ortopedica e Traumatologica 2011 June;62(3):187-98
Meniscal allograft transplantation
Willimon S. C., Laprade R. F.
The Steadman Clinic, Steadman Philippon Research Institute, Vail, CO, USA
Meniscal allograft transplantation is a complex salvage procedure for patients with symptomatic meniscal deficiency with normal or correctable leg alignment, ligamentous stability, and chondral surfaces. Numerous clinical and biomechanical studies have been reported and have helped to improve techniques and approaches to meniscal transplantation. Reports of concomitant cartilage restoration, limb re-alignment, and ligamentous reconstruction during meniscal allograft transplantation have been reported with good results. The current literature supports reliable improvements in function, pain, and swelling after meniscal transplantation in the carefully selected patient. There is no clinical data that meniscal transplantation halts or significantly delays arthritis progression, although longer-term data evaluating current techniques continues to emerge.