Meniscal Transplants and Scaffolds: A Systematic Review of the Literature

Sean Dangelmajer; Filippo Familiari; Roberto Simonetta; Mehmet Kaymakoglu; Gazi Huri

Meniscal Transplants and Scaffolds: A Systematic Review of the Literature

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Type: Academic journal

Author: Sean Dangelmajer Filippo Familiari Roberto Simonetta Mehmet Kaymakoglu Gazi Huri

Journal: 대한슬관절학회 Knee Surgery and Related Research Knee Surgery and Related Research 제29권 제1호 KCI Accredited Journals

Published: 2017.1

Pages: 3 - 10 (8page)

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Meniscal Transplants and Scaffolds: A Systematic Review of the Literature

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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.

#Knee #Meniscus #transplant #tissue scaffold

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References (22)

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Abat F / 2013 / Prospective comparative study between two different fixation techniques in meniscal allograft transplantation / Knee Surg Sports Traumatol Arthrosc 21 : 1516

Baker BE / 1985 / Review of meniscal injury and associated sports / Am J Sports Med 13 : 1 ~ 4

Baratz ME / 1986 / 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

Elattar M / 2011 / Twenty-six years of meniscal allograft transplantation : is it still experimental? A meta-analysis of 44 trials / Knee Surg Sports Traumatol Arthrosc 19 :

Englund M / 2008 / Incidental meniscal findings on knee MRI in middle-aged and elderly persons / N Engl J Med 359 : 1108 ~ 1115

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