Meniscus Preservation Strategies: Restoration to Transplantation (2023 Annual Meeting)-Meniscal Allograft Transplantation

Meniscal Allograft Transplantation_ Indications, Techniques and Results

Video Transcription

Video Summary

The speaker discusses meniscus transplants for young, active patients with failed meniscectomies causing pain and swelling but maintaining good cartilage. Patient selection is crucial—typically under 50 years old with absent meniscus and intact cartilage. Surgery involves precise sizing, careful positioning, and techniques like the slot method for lateral transplants and bone plugs for medial ones. Accurate tunnel placement and preserving cartilage are emphasized. Outcomes show improved pain and function, with 89% satisfaction, though benefits may wane over time. Tips include MCL pie crusting for exposure, posterior tunnel accuracy, and adequate arthrotomy for graft insertion.

Asset Caption

Laith Jazrawi, M.D.

Keywords

meniscus transplant

meniscectomy

patient selection

surgical techniques

postoperative outcomes