Meniscal allograft transplantation: A 1- to 5-year follow-up of 22 patients

被引:139
作者
Stollsteimer, GT
Shelton, WR
Dukes, A
Bomboy, AL
机构
[1] Mississippi Sports Med & Orthopaed Ctr, Jackson, MS 39202 USA
[2] Lebanon Orthopaed Assoc, Lebanon, PA USA
[3] Univ Mississippi, Med Ctr, Jackson, MS 39216 USA
来源
ARTHROSCOPY | 2000年 / 16卷 / 04期
关键词
cryopreserved meniscus allografts; meniscal shrinkage;
D O I
10.1016/S0749-8063(00)90077-X
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Between October 1991 and December 1995, a total of 22 patients (23 knees) underwent meniscal transplantation with nonirradiated, cryopreserved allografts. Implantation was arthroscopically assisted using bone plugs to prevent meniscal extrusion and maintain weight-bearing functional position, Patients were evaluated with an average follow-up of 40 months (range, 13 to 69 months) using the International Knee Documentation Committee, Lysholm, and Tegner scoring systems. The most significant finding was pain reduction after implantation. Lateral and standing anteroposterior radiographs were obtained on all patients at follow-up with an average joint space loss of 0.882 mm (range, 0 to 3 mm). Magnetic resonance imaging was preformed on both knees in 12 of the 22 patients at an average of 24.4 months postoperatively. On average, the allograft meniscus was 63% (range, 31% to 100%) the size of the normal meniscus. Clinical results showed improvement of preoperative pain in all patients. Although patients continue to have good pain relief following their meniscal allograft transplantation, the average shrinkage in the size of the meniscus as shown on magnetic resonance imaging is a concern.
引用
收藏
页码:343 / 347
页数:5
相关论文
共 14 条
[1]  
CARTER TR, 1995, 9 ANN M MEN ALL STUD
[2]   Is it important to secure the hems during lateral meniscal transplantation? A cadaveric study [J].
Chen, MI ;
Branch, TP ;
Hutton, WC .
ARTHROSCOPY, 1996, 12 (02) :174-181
[3]   KNEE JOINT CHANGES AFTER MENISCECTOMY [J].
FAIRBANK, TJ .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1948, 30 (04) :664-670
[4]  
GARRETT J C, 1991, Arthroscopy, V7, P57, DOI 10.1016/0749-8063(91)90079-D
[5]  
GARRETT JC, 1993, SPORTS MED ARTHROSC, V1, P164
[6]  
GOBLE M, 1995, 9 ANN M MEN ALL STUD
[7]   DEGENERATIVE CHANGES IN KNEE AFTER MENISCECTOMY [J].
JACKSON, JP .
BRITISH MEDICAL JOURNAL, 1968, 2 (5604) :525-&
[8]  
King D, 1936, J BONE JOINT SURG, V18, P333
[9]   MECHANICAL CHANGES IN KNEE AFTER MENISCECTOMY [J].
KRAUSE, WR ;
POPE, MH ;
JOHNSON, RJ ;
WILDER, DG .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1976, 58 (05) :599-604
[10]  
MILACHOWSKI KA, 1989, INT ORTHOP, V13, P1