Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation
Surgical techniques that preserve the native meniscus have been investigated in the setting of irreparable meniscal tears, including meniscal allograft transplantation (MAT) and meniscal synthetic scaffolds. Complete MAT removes the entirety of the native meniscal tissue for transplantation with sub...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-05-01
|
| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724005644 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849725336426643456 |
|---|---|
| author | Mikalyn T. DeFoor, M.D. Emily A. Whicker, M.D. Marco Adriani, M.D. Ryan J. Whalen, B.S., C.S.C.S. Noah Knezic, B.S. Nate J. Dickinson Matthew T. Provencher, M.D., M.B.A., CAPT MC USN (Ret.) |
| author_facet | Mikalyn T. DeFoor, M.D. Emily A. Whicker, M.D. Marco Adriani, M.D. Ryan J. Whalen, B.S., C.S.C.S. Noah Knezic, B.S. Nate J. Dickinson Matthew T. Provencher, M.D., M.B.A., CAPT MC USN (Ret.) |
| author_sort | Mikalyn T. DeFoor, M.D. |
| collection | DOAJ |
| description | Surgical techniques that preserve the native meniscus have been investigated in the setting of irreparable meniscal tears, including meniscal allograft transplantation (MAT) and meniscal synthetic scaffolds. Complete MAT removes the entirety of the native meniscal tissue for transplantation with suboptimal long-term survivorship. Similarly, synthetic meniscal scaffolds have shown variable success rates with an inability to regenerate functional tissue or prevent early osteoarthritis. Therefore, segmental MAT techniques have been explored to preserve the healthy, native meniscal biology and decrease knee contact pressures and total surface contact area. Current indications for segmental MAT continue to evolve but may be considered in near-complete or full-thickness segmental meniscal deficiency, generally 1 to 2.5 cm in total meniscal length. Typically, the segmental deficiency is in the posterior or posterior-middle junction of the meniscus. This technique article outlines an arthroscopic technique for lateral segmental meniscal transplantation for an irreparable lateral meniscal oblique radial tear of the posterior horn with a 20-mm segmental defect. |
| format | Article |
| id | doaj-art-597ced5b1b4049239ba8da262b32df4b |
| institution | DOAJ |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-597ced5b1b4049239ba8da262b32df4b2025-08-20T03:10:30ZengElsevierArthroscopy Techniques2212-62872025-05-0114510339610.1016/j.eats.2024.103396Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus TransplantationMikalyn T. DeFoor, M.D.0Emily A. Whicker, M.D.1Marco Adriani, M.D.2Ryan J. Whalen, B.S., C.S.C.S.3Noah Knezic, B.S.4Nate J. Dickinson5Matthew T. Provencher, M.D., M.B.A., CAPT MC USN (Ret.)6San Antonio Military Medical Center, Fort Sam, Houston, Texas, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Department of Medical and Surgical Specialties, University of Brescia, Brescia, ItalySteadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; The Steadman Clinic, Vail, Colorado, U.S.A.; Address correspondence to Matthew T. Provencher, M.D., M.B.A., CAPT MC USN (Ret.), Steadman Philippon Research Institute, The Steadman Clinic, 181 West Meadow Drive, Suite 400, Vail, CO 81657, U.S.A.Surgical techniques that preserve the native meniscus have been investigated in the setting of irreparable meniscal tears, including meniscal allograft transplantation (MAT) and meniscal synthetic scaffolds. Complete MAT removes the entirety of the native meniscal tissue for transplantation with suboptimal long-term survivorship. Similarly, synthetic meniscal scaffolds have shown variable success rates with an inability to regenerate functional tissue or prevent early osteoarthritis. Therefore, segmental MAT techniques have been explored to preserve the healthy, native meniscal biology and decrease knee contact pressures and total surface contact area. Current indications for segmental MAT continue to evolve but may be considered in near-complete or full-thickness segmental meniscal deficiency, generally 1 to 2.5 cm in total meniscal length. Typically, the segmental deficiency is in the posterior or posterior-middle junction of the meniscus. This technique article outlines an arthroscopic technique for lateral segmental meniscal transplantation for an irreparable lateral meniscal oblique radial tear of the posterior horn with a 20-mm segmental defect.http://www.sciencedirect.com/science/article/pii/S2212628724005644 |
| spellingShingle | Mikalyn T. DeFoor, M.D. Emily A. Whicker, M.D. Marco Adriani, M.D. Ryan J. Whalen, B.S., C.S.C.S. Noah Knezic, B.S. Nate J. Dickinson Matthew T. Provencher, M.D., M.B.A., CAPT MC USN (Ret.) Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation Arthroscopy Techniques |
| title | Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation |
| title_full | Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation |
| title_fullStr | Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation |
| title_full_unstemmed | Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation |
| title_short | Treatment of Failed Lateral Meniscal Oblique Radial Tear Repair With Segmental Allograft Meniscus Transplantation |
| title_sort | treatment of failed lateral meniscal oblique radial tear repair with segmental allograft meniscus transplantation |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724005644 |
| work_keys_str_mv | AT mikalyntdefoormd treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation AT emilyawhickermd treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation AT marcoadrianimd treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation AT ryanjwhalenbscscs treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation AT noahknezicbs treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation AT natejdickinson treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation AT matthewtprovenchermdmbacaptmcusnret treatmentoffailedlateralmeniscalobliqueradialtearrepairwithsegmentalallograftmeniscustransplantation |