AANA Knee Arthroscopy - September 2024-Meniscus Transplantation: Technical Pearls

Meniscus Transplantation: Technical Pearls

Video Transcription

Video Summary

This discussion covers the technical nuances of meniscal allograft transplantation, emphasizing preoperative knee evaluation and confirmation of correct tissue. Key steps include arthroscopic reassessment, precise trimming of the meniscus rim, and careful tibial bone preparation tailored to the chosen technique (bone plug or bone bridge). Accurate graft measurement and anatomical placement of both anterior and posterior horns are critical to prevent extrusion and failure. Secure fixation uses various suturing methods and proper hardware to stabilize the graft without over-constraining it. The procedure concludes with careful arthroscopic inspection to ensure stability and proper motion, highlighting the importance of planning and attention to anatomical detail.

Asset Caption

Wayne K. Gersoff, M.D.

Keywords

meniscal allograft transplantation

preoperative knee evaluation

arthroscopic reassessment

tibial bone preparation

graft fixation methods