Video Gallery

Video Gallery

To View the Video

Lateral Meniscal Transplantation via a Bone Trough Technique

February 10, 2018

Contributors: Amos Dai, BS; Dylan Lowe, MD; Hien Pham, MD; Ryan Roach, MD; Robert J Meislin, MD; Robert J Meislin, MD

Purpose: The meniscus plays an important role in load distribution, joint stability, and shock absorption for the knee joint. Loss of the meniscus as a result of injury or meniscectomy may lead to pain, accelerated arthritis, and functional limitations. Meniscal allograft transplantation was developed in the 1980s to treat patients with meniscal deficiency. Improvements in surgical technique, implant design, and allograft processing have led to an increase in the number of transplantation procedures performed. This video presents the surgical technique for lateral meniscal transplantation with decompression of a parameniscal cyst. Methods: The video discusses the case presentation of a 48-year-old woman who has experienced persistent right knee pain for the past 3 months. Her pain was localized to the lateral compartment. Her surgical history included two partial meniscectomies, one of which was performed 11 months ago and the other of which was performed 2 years ago. On physical examination, her knee was neutrally aligned with swelling and tenderness to palpation noted over the lateral compartment and was stable to varus and valgus stress. The video reviews the patient's radiographs, surgical indications, and preoperative planning. The patient elected to proceed with lateral meniscal allograft transplantation. Results: After demonstrating the surgical technique, the video reviews the patient's postoperative rehabilitation protocol. In addition, a review of the literature on the clinical outcomes of meniscal allograft transplantation is performed. Conclusion: Meniscal deficiency is a cause of pain and morbidity. In addition, it predisposes the articular surface to accelerated wear and arthritis. Meniscal allograft transplantation was developed to treat patients with meniscal deficiency. Although clear indications for meniscal allograft transplantation continue to be developed, symptomatic patients with evidence of meniscal deficiency who undergo meniscal allograft transplantation have improved clinical outcomes with good midterm survival.

Results for "Knee: Cartilage"

1 of 3
1 of 3

X