Case Report
Arthroscopic Meniscal Transplantation Technique
Cruz-Lopez Francisco, Olivos-Meza Anell, Llano Rodríguez Luis Tomas and Ibarra Clemente*
National Institute of Rehabilitation, Mexico
- *Corresponding Author:
- Ibarra Clemente
Calzada Mexico Xochimilco 289
Arenal de Guadalupe, Mexico city. ZC 14389
Tel: 05259991000, Ext. 19607
Fax: 59-99-10-00
E-mail: [email protected]
Received Date: October 09, 2015 Accepted Date: December 07, 2015 Published Date: December 11, 2015
Citation: Francisco CL, Anell OM, Tomas LRL, Clemente I (2015) Arthroscopic Meniscal Transplantation Technique. J Sports Med Doping Stud 6:171. doi:10.4172/2161-0673.1000171
Copyright: © 2015 Francisco CL et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
The meniscus provide several important mechanical functions in the knee joint. Following menisectomy the tibiofemoral contact area decreases while the contact forces increase. Meniscal allograft transplantation (MAT) offers the potential to restore partial load-bearing, decrease symptoms, and provide chondroprotective effect. Ideal patient for MAT should have normal alignment, stable knee, abscence of cartilage damage and has less than 50 years-old. Several open and arthroscopic MAT techniques have been described. The succesful of MAT is to use a minimal invasive technique without sacrificing the precise anatomic reconstruction of the original meniscofemoaral and meniscotibial relationships. Anatatomical position, appropriate sizing of the graft, and fixation method are crucial key points to have good results. In general there are three fixation methods: soft tissue fixation, suture fixation through transoseous tunnels, and bone plugs press-fit fixation. However, inferior biomechanical and contact pressure have been reported with soft tissue and transosseous tunnels compared with the bone block technique.
