2023 Annual Meeting Knee Access Pass-The Role of Meniscus Transplantation in Revision ACL Reconstruction

The Role of Meniscus Transplantation in Revision ACL Reconstruction

Video Transcription

Video Summary

Andreas Gomol discusses the crucial role of meniscus transplantation in revision ACL reconstruction, emphasizing meniscal injuries’ common association with ACL tears and their impact on knee stability and osteoarthritis risk. Meniscal deficiency increases stress on both native and reconstructed ACLs, raising failure rates significantly. Meniscus transplants can mitigate these effects but are technically demanding with lengthy rehab and notable re-operation rates. Gomol advises meniscal repair whenever possible, reserving transplantation primarily for multiply failed ACL reconstructions with significant meniscal loss. Proper sizing and surgical technique are vital for success, and patients should be counseled on realistic return-to-sport expectations.

Asset Caption

Andreas H. Gomoll, M.D.

Keywords

meniscus transplantation

revision ACL reconstruction

meniscal injuries

knee stability

meniscal repair