AANA19 Knee Access Pass-Long-term Survival of Meniscus Allograft Transplantation in an Arthritic Population_ Time to Abandon Restricted Indications for Transplantation.-Dr. Kevin R. Stone, M.D.

Long-term Survival of Meniscus Allograft Transplantation in an Arthritic Population_ Time to Abandon Restricted Indications for Transplantation.-Dr. Kevin R. Stone, M.D.

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Video Summary

The presentation highlights that while meniscectomies often lead to arthritis, meniscus repair or replacement reduces this risk significantly. Despite this, few meniscus replacements occur due to outdated beliefs limiting indications to young, healthy knees. New evidence shows that meniscus transplantation combined with ligament reconstruction and articular cartilage repair improves outcomes regardless of age or cartilage damage, with a mean graft survival of 17 years and low conversion to knee arthroplasty. Proper surgical technique, including reconstruction of meniscal skirt ligaments and cartilage repair using paste grafts, is essential. Meniscus replacement can delay joint replacement, benefiting even older patients with arthritis.

Keywords

meniscectomy arthritis risk

meniscus repair benefits

meniscus transplantation outcomes

ligament reconstruction

cartilage repair techniques