APEX Knee Navigating Pearls and Pitfalls-LMAT for the Discoid Meniscus Issues in Children and Adolescents

LMAT for the Discoid Meniscus Issues in Children and Adolescents

Video Transcription

Video Summary

Dr. Burt Mendelbaum discusses lateral meniscus allograft transplantation for discoid meniscus issues in children and adolescents. The procedure, developed with Dr. Curtis Vandenberg, addresses meniscal deficiency that leads to cartilage damage and increased joint stress. Indications include subtotal meniscectomy and minimal chondromalacia. The technique uses frozen lateral meniscus allografts with anatomic bone plugs, performed arthroscopically. Cases demonstrate successful transplantation and integration, sometimes combined with osteochondral allografts. Outcomes show significant improvements in young patients with low complication rates. Emphasis is on surgical precision and orthobiologic adjuncts like PRP to enhance healing. The procedure represents an evolving, promising approach in pediatric orthopedic care.

Asset Caption

Dr. Bert Mandelbaum

Keywords

lateral meniscus allograft transplantation

discoid meniscus

pediatric orthopedic surgery

arthroscopic meniscus repair

orthobiologic adjuncts PRP