본문 바로가기
KERD
논문KCI 등재

Meniscal Transplants and Scaffolds: A Systematic Review of the Literature

Gazi Huri|Sean Dangelmajer|Filippo Familiari|Roberto Simonetta|Mehmet Kaymakoglu
대한슬관절학회 (Korean Knee Society)|2017.03|Knee Surgery and Related Research|제29권 제1호|pp. 3-10

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

KneetransplantMeniscustissue scaffold

초록

The reported incidence of meniscal tears is approximately 61 per 100,000. In instances where preservation of the native meniscus is no longer a feasible option, meniscal allograft transplantation (MAT) and implants or scaffolds may be considered. The goal of this review was to compare the success and failure rates of two techniques, MAT and meniscal scaffolds, and make an inference which treatment is more preferable at the present time and future. Studies that met inclusion criteria were assessed for technique used, type of transplant used, number of procedures included in the study, mean age of patients, mean follow-up time, number of failures, failure rate, and reported reoperation rate. Fifteen studies for the MAT group and 7 studies for the meniscal scaffold group were identified. In this selection of studies, the average failure rate in the MAT group was 18.7% and average reoperation rate was 31.3%. The average failure rate in the meniscal scaffold group was 5.6%, and average reoperation rate was 6.9%. It appears that although MAT is associated with high reoperation and failure rates, the limited number of studies on both MAT and scaffolds and mainly short-term results of scaffold studies make it difficult to make an objective comparison.

Abstract

The reported incidence of meniscal tears is approximately 61 per 100,000. In instances where preservation of the native meniscus is no longer a feasible option, meniscal allograft transplantation (MAT) and implants or scaffolds may be considered. The goal of this review was to compare the success and failure rates of two techniques, MAT and meniscal scaffolds, and make an inference which treatment is more preferable at the present time and future. Studies that met inclusion criteria were assessed for technique used, type of transplant used, number of procedures included in the study, mean age of patients, mean follow-up time, number of failures, failure rate, and reported reoperation rate. Fifteen studies for the MAT group and 7 studies for the meniscal scaffold group were identified. In this selection of studies, the average failure rate in the MAT group was 18.7% and average reoperation rate was 31.3%. The average failure rate in the meniscal scaffold group was 5.6%, and average reoperation rate was 6.9%. It appears that although MAT is associated with high reoperation and failure rates, the limited number of studies on both MAT and scaffolds and mainly short-term results of scaffold studies make it difficult to make an objective comparison.

참고문헌 (50)

  1. Verma NN, "The effects of medial meniscal transplantation techniques on intra-articular contact pressures", J Knee Surg, 21, pp.20~26 (2008)
  2. Baratz ME, "Meniscal tears : the effect of meniscectomy and of repair on intraarticular contact areas and stress in the human knee : a preliminary report", Am J Sports Med, 14, pp.270~275 (1986)
  3. Thijs Y, "A prospective study on knee proprioception after meniscal allograft transplantation", Scand J Med Sci Sports, 17, pp.223~229 (2007)
  4. Jerosch J, "Proprioception of knee joints with a lesion of the medial meniscus", Acta Orthop Belg, 62, pp.41~45 (1996)
  5. Karahan M, "Effect of partial medial meniscectomy on the proprioceptive function of the knee", Arch Orthop Trauma Surg, 130, pp.427~431 (2010)
  6. Baker BE, "Review of meniscal injury and associated sports", Am J Sports Med, 13, pp.1~4 (1985)
  7. Englund M, "Incidental meniscal findings on knee MRI in middle-aged and elderly persons", N Engl J Med, 359, pp.1108~1115 (2008)
  8. McCarty EC, "Meniscus repair: considerations in treatment and update of clinical results", Clin Orthop Relat Res, (402), pp.122~134 (2002)
  9. Elattar M, "Twenty-six years of meniscal allograft transplantation : is it still experimental? A meta-analysis of 44 trials", Knee Surg Sports Traumatol Arthrosc, 19, pp.147~157 (2011)
  10. Milachowski KA, "Homologous meniscus transplantation : experimental and clinical results", Int Orthop, 13, pp.1~11 (1989)
  11. Verdonk R, "Indications and limits of meniscal allografts", Injury, (44Suppl 1), pp.S21~S27 (2013)
  12. Jiang D, "Meniscus transplantation using treated xenogeneic meniscal tissue : viability and chondroprotection study in rabbits", Arthroscopy, 28, pp.1147~1159 (2012)
  13. Samitier G, "Meniscal allograft transplantation. Part 1: systematic review of graft biology, graft shrinkage, graft extrusion, graft sizing, and graft fixation", Knee Surg Sports Traumatol Arthrosc, 23, pp.310~322 (2015)
  14. Villalba R, "Cryopreservation increases apoptosis in human menisci", Knee Surg Sports Traumatol Arthrosc, 20, pp.298~303 (2012)
  15. Jang SH, "Reducing the size of the meniscal allograft decreases the percentage of extrusion after meniscal allograft transplantation", Arthroscopy, 27, pp.914~922 (2011)
  16. McCormick F, "Survival and reoperation rates after meniscal allograft transplantation : analysis of failures for 172 consecutive transplants at a minimum 2-year follow-up", Am J Sports Med, 42, pp.892~897 (2014)
  17. Roumazeille T, "Arthroscopic meniscal allograft transplantation with two tibia tunnels without bone plugs : evaluation of healing on MR arthrography and functional outcomes", Knee Surg Sports Traumatol Arthrosc, 23, pp.264~269 (2015)
  18. Kazi HA, "Meniscal allograft with or without osteotomy : a 15-year follow-up study", Knee Surg Sports Traumatol Arthrosc, 23, pp.303~309 (2015)
  19. Abat F, "Prospective comparative study between two different fixation techniques in meniscal allograft transplantation", Knee Surg Sports Traumatol Arthrosc, 21, pp.1516~1522 (2013)
  20. Faivre B, "Lateral meniscus allograft transplantation : clinical and anatomic outcomes after arthroscopic implantation with tibial tunnels versus open implantation without tunnels", Orthop Traumatol Surg Res, 100, pp.297~302 (2014)
  21. Gonzalez-Lucena G, "Meniscal allograft transplantation without bone blocks : a 5-to 8-year follow-up of 33 patients", Arthroscopy, 26, pp.1633~1640 (2010)
  22. Kempshall PJ, "Outcome of meniscal allograft transplantation related to articular cartilage status : advanced chondral damage should not be a contraindication", Knee Surg Sports Traumatol Arthrosc, 23, pp.280~289 (2015)
  23. LaPrade RF, "A prospective outcomes study of meniscal allograft transplantation", Am J Sports Med, 38, pp.1804~1812 (2010)
  24. Marcacci M, "Meniscal allograft transplantation without bone plugs : a 3-year minimum follow-up study", Am J Sports Med, 40, pp.395~403 (2012)
  25. Rue JP, "Prospective evaluation of concurrent meniscus transplantation and articular cartilage repair : minimum 2-year follow-up", Am J Sports Med, 36, pp.1770~1778 (2008)
  26. van der Wal RJ, "Long-term clinical outcome of open meniscal allograft transplantation", Am J Sports Med, 37, pp.2134~2139 (2009)
  27. Verdonk PC, "Transplantation of viable meniscal allograft : survivorship analysis and clinical outcome of one hundred cases", J Bone Joint Surg Am, 87, pp.715~724 (2005)
  28. Zhang H, "Meniscal allograft transplantation in isolated and combined surgery", Knee Surg Sports Traumatol Arthrosc, 20, pp.281~289 (2012)
  29. van Arkel ER, "Human meniscal transplantation : preliminary results at 2 to 5-year follow-up", J Bone Joint Surg Br, 77, pp.589~595 (1995)
  30. Rodkey WG, "A clinical study of collagen meniscus implants to restore the injured meniscus", Clin Orthop Relat Res, (367 Suppl), pp.S281~S292 (1999)
  31. Zuidema J, "In vitro degradation of a biodegradable polyurethane foam, based on 1, 4-butanediisocyanate : a three-year study at physiological and elevated temperature", J Biomed Mater Res A, 90, pp.920~930 (2009)
  32. Verdonk R, "Tissue ingrowth after implantation of a novel, biodegradable polyurethane scaffold for treatment of partial meniscal lesions", Am J Sports Med, 39, pp.774~782 (2011)
  33. Liberati A, "The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions:explanation and elaboration", Clin Epidemiol, 62, pp.e1~e34 (2009)
  34. Noyes FR, "Meniscal transplantation in symptomatic patients less than fifty years old", J Bone Joint Surg Am, 86, pp.1392~1404 (2004)
  35. Vundelinckx B, "Arthroscopically assisted meniscal allograft transplantation in the knee : a medium-term subjective, clinical, and radiographical outcome evaluation", Am J Sports Med, 38, pp.2240~2247 (2010)
  36. Baynat C, "Actifit synthetic meniscal substitute:experience with 18 patients in Brest, France", Orthop Traumatol Surg Res, 100(8 Suppl), pp.S385~S389 (2014)
  37. Verdonk P, "Successful treatment of painful irreparable partial meniscal defects with a polyurethane scaffold : two-year safety and clinical outcomes", Am J Sports Med, 40, pp.844~853 (2012)
  38. Zaffagnini S, "Arthroscopic collagen meniscus implantation for partial lateral meniscal defects : a 2-year minimum follow-up study", Am J Sports Med, 40, pp.2281~2288 (2012)
  39. Hirschmann MT, "One-year clinical and MR imaging outcome after partial meniscal replacement in stabilized knees using a collagen meniscus implant", Knee Surg Sports Traumatol Arthrosc, 21, pp.740~747 (2013)
  40. Efe T, "The safety and short-term efficacy of a novel polyurethane meniscal scaffold for the treatment of segmental medial meniscus deficiency", Knee Surg Sports Traumatol Arthrosc, 20, pp.1822~1830 (2012)
  41. Rodkey WG, "Comparison of the collagen meniscus implant with partial meniscectomy : a prospective randomized trial", J Bone Joint Surg Am, 90, pp.1413~1426 (2008)
  42. Monllau JC, "Outcome after partial medial meniscus substitution with the collagen meniscal implant at a minimum of 10years’ follow-up", Arthroscopy, 27, pp.933~943 (2011)
  43. Lee BS, "Patient-related risk factors for the extrusion of lateral meniscal allograft transplants", Arthroscopy, 31, pp.699~706 (2015)
  44. van Arkel ER, "Meniscal allografts : evaluation with magnetic resonance imaging and correlation with arthroscopy", Arthroscopy, 16, pp.517~521 (2000)
  45. Spencer SJ, "Meniscal scaffolds : early experience and review of the literature", Knee, 19, pp.760~765 (2012)
  46. Moroni L, "Finite element analysis of meniscal anatomical 3d scaffolds : implications for tissue engineering", Open Biomed Eng J, 1, pp.23~34 (2007)
  47. Stollsteimer GT, "Meniscal allograft transplantation : a 1-to 5-year follow-up of 22patients", Arthroscopy, 16, pp.343~347 (2000)
  48. Jiang D, "Comparative study on immediate versus delayed meniscus allograft transplantation : 4-to 6-year follow-up", Am J Sports Med, 42, pp.2329~2337 (2014)
  49. Chalmers PN, "Return to high-level sport after meniscal allograft transplantation", Arthroscopy, 29, pp.539~544 (2013)
  50. Zaffagnini S, "Prospective long-term outcomes of the medial collagen meniscus implant versus partial medial meniscectomy : a minimum 10-year follow-up study", Am J Sports Med, 39, pp.977~985 (2011)

관련 논문AI추천

Failure rates and clinical outcomes of synthetic meniscal implants following partial meniscectomy: a systematic reviewIan Barlow, Jonas Schwenck, Suraj Kohli대한슬관절학회 · Knee Surgery and Related Research2022 · 제34권 Review of Meniscal Allograft Transplantation Focusing on Long-term Results and Evaluation Methods김종민, 빈성일, 손동욱, 이범식대한슬관절학회 · Knee Surgery and Related Research2013 · 제25권 제1호A Systematic Review and Meta-Analysis of Arthroscopic Meniscus Repair in Young Patients: Comparison of All-Inside and Inside-Out Suture TechniquesDong­Geun Kang, Dong-Yeong Lee, Jae­Ha Yu, Jong­Byung Oh, Young­Jin Park대한슬관절학회 · Knee Surgery and Related Research2019 · 제31권 제1호Acceptable clinical outcomes despite high reoperation rate at minimum 12-month follow-up after concomitant arthroscopically assisted anterior cruciate ligament reconstruction and medial meniscal allograft transplantationAmanda Avila, Brittany DeClouette, Dhruv S. Shankar, Eric J. Strauss, Guillem Gonzalez-Lomas, Hadi Aziz, Kinjal D. Vasavada, Kirk A. Campbell, Laith M. Jazrawi, Michael J. Alaia대한슬관절학회 · Knee Surgery and Related Research2023 · 제35권 The Tips and Pitfalls of Meniscus Allograft TransplantationJin Goo Kim, Sang Wook Nam, Sung Rak Lee대한슬관절학회 · Knee Surgery and Related Research2012 · 제24권 제3호Medial Meniscus Posterior Root Tear: A Comprehensive Review김진구, 이동원, 하정구대한슬관절학회 · Knee Surgery and Related Research2014 · 제26권 제3호

이 간행물의 다른 논문 (12건)

Have Evolving Surgical Methods Improved Clinical Outcomes after Anterior Cruciate Ligament Reconstruction?빈성일pp. 1-2Three-Dimensional Reconstruction Computed Tomography Evaluation of the Tunnel Location and Angle in Anatomic Single-Bundle Anterior Cruciate Ligament Reconstruction: A Comparison of the Anteromedial Portal and Outside-in Techniques배성혜, 이상학, 김강일, 배찬일pp. 11-18Mid-Term Outcomes of Anterior Cruciate Ligament Reconstruction with Far Anteromedial Portal Technique최성욱, 박주현, 윤재식, 신정섭, 전윤상, 김명구pp. 19-25The Effect of Different Sagittal Angles of the Tibial Guide on Aperture Widening of the Tibial Tunnel during Modified Transtibial Anterior Cruciate Ligament Reconstruction: A Randomized In Vivo Study김영찬, Tulyapruek Tawonsawatruk, 운형화, Rodolfo S. Bravo Jr, 나경욱, 신명진, 염지웅pp. 26-32Arthroscopic Control for Safe and Secure Seating of Suspensory Devices for Femoral Fixation in Anterior Cruciate Ligament Reconstruction Using Three Different Techniques이용석, 강서규pp. 33-38
원문 보기