Review of Meniscal Allograft Transplantation Focusing on Long-term Results and Evaluation Methods
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With recognition of the biomechanical role of the meniscus, such as load distribution and joint stability in the knee joint, there has been a shift in the treatment of meniscal tears from open total meniscectomy to preservation of the meniscal functions as much as possible with symptomatic relief. Recently, technical development of meniscal surgery, with advanced arthroscopic equipment and instruments, enables biological reconstruction of load bearing functions in the meniscus deficient knee through allograft tissue transplantation as well as repair of torn menisci. Meniscal allograft transplantation (MAT) has been considered as one of the few viable treatment options for the young meniscectomized knees based on various animal experiments and clinical studies. Still, there is insufficient evidence for the long-term chondroprotective effect of human MAT. Some long-term follow-up studies showed that the technique resulted in graft degeneration, deformation, and tear, and structural changes in the remodeling process in early MAT cases, disrupting functional restoration of the original meniscus. Nevertheless, advanced outcomes are documented in some recent studies. The purpose of this article is to review the mid- and long-term follow-up results of MAT and to improve understanding of MAT with evaluation methods of meniscal transplants using magnetic resonance imaging or second-look arthroscopy.
Abstract
With recognition of the biomechanical role of the meniscus, such as load distribution and joint stability in the knee joint, there has been a shift in the treatment of meniscal tears from open total meniscectomy to preservation of the meniscal functions as much as possible with symptomatic relief. Recently, technical development of meniscal surgery, with advanced arthroscopic equipment and instruments, enables biological reconstruction of load bearing functions in the meniscus deficient knee through allograft tissue transplantation as well as repair of torn menisci. Meniscal allograft transplantation (MAT) has been considered as one of the few viable treatment options for the young meniscectomized knees based on various animal experiments and clinical studies. Still, there is insufficient evidence for the long-term chondroprotective effect of human MAT. Some long-term follow-up studies showed that the technique resulted in graft degeneration, deformation, and tear, and structural changes in the remodeling process in early MAT cases, disrupting functional restoration of the original meniscus. Nevertheless, advanced outcomes are documented in some recent studies. The purpose of this article is to review the mid- and long-term follow-up results of MAT and to improve understanding of MAT with evaluation methods of meniscal transplants using magnetic resonance imaging or second-look arthroscopy.
참고문헌 (44)
- Hwa-Jae Jeong, "Meniscectomy", Knee Surgery and Related Research, 24(3), pp.129~136 (2012), 대한슬관절학회
- Jin Ho Cho, "Modified Pull-out Suture in Posterior Root Tear of the Medial Meniscus: Using a Posteromedial Portal", Knee Surgery and Related Research, 24(2), pp.124~127 (2012), 대한슬관절학회
- Fairbank TJ, "Knee joint changes after meniscectomy", J Bone Joint Surg Br, 30, pp.664~670 (1948)
- Radin EL, "Role of the menisci in the distribution of stress in the knee", Clin Orthop Relat Res, 185, pp.290~294 (1984)
- Levy IM, "The effect of lateral meniscectomy on motion of the knee", J Bone Joint Surg Am, 71, pp.401~406 (1989)
- Levy IM, "The effect of medial meniscectomy on anterior-posterior motion of the knee", JBone Joint Surg Am, 64, pp.883~888 (1982)
- Bargar WL, "In vivo stability testing of post-meniscectomy knees", Clin Orthop Relat Res, 150, pp.247~252 (1980)
- Noyes FR, "Repair of complex and avascular meniscal tears and meniscal transplantation", J Bone Joint Surg Am, 92, pp.1012~1029 (2010)
- Matava MJ, "Meniscal allograft transplantation : a systematic review", Clin Orthop Relat Res, 455, pp.142~157 (2007)
- Rodeo SA, "Meniscal allografts: where do we stand?", Am J Sports Med, 29, pp.246~261 (2001)
- Jin Goo Kim, "The Tips and Pitfalls of Meniscus Allograft Transplantation", Knee Surgery and Related Research, 24(3), pp.137~145 (2012), 대한슬관절학회
- Harris JD, "Biological knee reconstruction : a systematic review of combined meniscal allograft transplantation and cartilage repair or restoration", Arthroscopy, 27, pp.409~418 (2011)
- Hergan D, "Meniscal allograft transplantation", Arthroscopy, 27, pp.101~112 (2011)
- von Lewinski G, "The influence of intraoperative pretensioning on the chondroprotective effect of meniscal transplants", Am J Sports Med, 34, pp.397~406 (2006)
- Kelly BT, "Meniscal allograft transplantation in the sheep knee : evaluation of chondroprotective effects", Am J Sports Med, 34, pp.1464~1477 (2006)
- Wirth CJ, "Long-term results of meniscal allograft transplantation", Am J Sports Med, 30, pp.174~181 (2002)
- von Lewinski G, "Twenty-year results of combined meniscal allograft transplantation, anterior cruciate ligament reconstruction and advancement of the medial collateral ligament", Knee Surg Sports Traumatol Arthrosc, 15, pp.1072~1082 (2007)
- Binnet MS, "Lyophilised medial meniscus transplantations in ACL-deficient knees : a 19-year follow-up", Knee Surg Sports Traumatol Arthrosc, 20, pp.109~113 (2012)
- Milachowski KA, "Homologous meniscus transplantation : experimental and clinical results", Int Orthop, 13, pp.1~11 (1989)
- Dienst M, "Effect of lateral meniscal allograft sizing on contact mechanics of the lateral tibial plateau : an experimental study in human cadaveric knee joints", Am J Sports Med, 35, pp.34~42 (2007)
- Wilcox TR, "Goble technique of meniscus transplantation", Am J Knee Surg, 9, pp.37~42 (1996)
- Canham W, "A study of the biological behavior of the meniscus as a transplant in the medial compartment of a dog’s knee", Am J Sports Med, 14, pp.376~379 (1986)
- 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)
- Verdonk PC, "Meniscal allograft transplantation : long-term clinical results with radiological and magnetic resonance imaging correlations", Knee Surg Sports Traumatol Arthrosc, 14, pp.694~706 (2006)
- Prodromos CC, "Magnetic resonance imaging measurement of the contralateral normal meniscus is a more accurate method of determining meniscal allograft size than radiographic measurement of the recipient tibial plateau", Arthroscopy, 23, pp.1174~1179 (2007)
- Stollsteimer GT, "Meniscal allograft transplantation : a 1-to 5-year follow-up of 22 patients", Arthroscopy, 16, pp.343~347 (2000)
- Rath E, "Meniscal allograft transplantation : two-to eight-year results", Am J Sports Med, 29, pp.410~414 (2001)
- van Arkel ER, "Survival analysis of human meniscal transplantations", J Bone Joint Surg Br, 84, pp.227~231 (2002)
- Hommen JP, "Meniscus allograft transplantation : ten-year results of cryopreserved allografts", Arthroscopy, 23, pp.388~393 (2007)
- van der Wal RJ, "Long-term clinical outcome of open meniscal allograft transplantation", Am J Sports Med, 37, pp.2134~2139 (2009)
- Cameron JC, "Meniscal allograft transplantation for unicompartmental arthritis of the knee", Clin Orthop Relat Res, 337, pp.164~171 (1997)
- 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)
- 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)
- Hui C, "Long-term survival of high tibial osteotomy for medial compartment osteoarthritis of the knee", Am J Sports Med, 39, pp.64~70 (2011)
- Schallberger A, "High tibial valgus osteotomy in unicompartmental medial osteoarthritis of the knee : a retrospective follow-up study over 13-21 years", Knee Surg Sports Traumatol Arthrosc, 19, pp.122~127 (2011)
- Noyes FR, "Meniscal transplantation in symptomatic patients less than fifty years old", J Bone Joint Surg Am, 86, pp.1392~1404 (2004)
- Stone KR, "Long-term survival of concurrent meniscus allograft transplantation and repair of the articular cartilage : a prospective two-to 12-year follow-up report", J Bone Joint Surg Br, 92, pp.941~948 (2010)
- Ha JK, "Medial meniscus allograft transplantation using a modified bone plug technique : clinical, radiologic, and arthroscopic results", Arthroscopy, 27, pp.944~950 (2011)
- Kim CW, "Results of isolated lateral meniscus allograft transplantation : focus on objective evaluations with magnetic resonance imaging", Am J Sports Med, 39, pp.1960~1967 (2011)
- Zhang H, "Meniscal allograft transplantation in isolated and combined surgery", Knee Surg Sports Traumatol Arthrosc, 20, pp.281~289 (2012)
- Marcacci M, "Meniscal allograft transplantation without bone plugs : a 3-year minimum follow-up study", Am J Sports Med, 40, pp.395~403 (2012)
- Kim JM, "Results of meniscus allograft transplantation using bone fixation : 110 cases with objective evaluation", Am J Sports Med, 40, pp.1027~1034 (2012)
- Kim JG, "Tibiofemoral contact mechanics following posterior root of medial meniscus tear, repair, meniscectomy, and allograft transplantation", Knee Surg Sports Traumatol Arthrosc (2012)[DOI]
- Szomor ZL, "The protective effects of meniscal transplantation on cartilage : an experimental study in sheep", J Bone Joint Surg Am, 82, pp.80~88 (2000)