2023 Annual Meeting Knee Access Pass-Meniscal Transplantation: Let’s Settle This! Slot vs. Bone Plug vs. Soft Tissue

Meniscal Transplantation: Let’s Settle This! Slot vs. Bone Plug vs. Soft Tissue

Video Transcription

Video Summary

Dr. Thomas Carter discusses meniscal allograft transplantation, comparing slot, bone plug, and soft tissue fixation techniques. Key factors for successful outcomes include proper indications, graft sizing, and precise surgical technique for anatomic placement. While all fixation methods yield good results, bone plugs offer superior load distribution and less graft extrusion over time, promoting durability up to 20 years. Proper sizing and stable fixation without over-tensioning are crucial to prevent extrusion and cartilage damage. Though technically more demanding, bone plug fixation is preferred for general use. Centralization techniques also help manage extrusion, highlighting the procedure’s complexity and the need for experience.

Asset Caption

Thomas R. Carter, M.D

Keywords

meniscal allograft transplantation

bone plug fixation

slot fixation

soft tissue fixation

graft extrusion prevention