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Meniscus allograft transplantation: indications, techniques and outcomes

New indications for meniscal allograft transplantation (MAT) are being added, but the general expert opinion is that it is still a procedure reserved for symptomatic meniscal loss. Lateral MAT has better clinical outcomes and less failure risk compared to medial MAT. Ideal conditions (low-grade chon...

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Autores principales: Figueroa, Francisco, Figueroa, David, Calvo, Rafael, Vaisman, Alex, Espregueira-Mendes, João
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491952/
https://www.ncbi.nlm.nih.gov/pubmed/31057948
http://dx.doi.org/10.1302/2058-5241.4.180052
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author Figueroa, Francisco
Figueroa, David
Calvo, Rafael
Vaisman, Alex
Espregueira-Mendes, João
author_facet Figueroa, Francisco
Figueroa, David
Calvo, Rafael
Vaisman, Alex
Espregueira-Mendes, João
author_sort Figueroa, Francisco
collection PubMed
description New indications for meniscal allograft transplantation (MAT) are being added, but the general expert opinion is that it is still a procedure reserved for symptomatic meniscal loss. Lateral MAT has better clinical outcomes and less failure risk compared to medial MAT. Ideal conditions (low-grade chondral lesions) make MAT a more survivable and successful procedure. Meniscal extrusion after MAT is common and does not seem to alter results. Midterm survivorship of a MAT is reported to be 85–90%, while long-term survivorship decreases to 50–70% depending on chondral status and concomitant procedures. Even if the procedure is a success, there are high possibilities of not being able to resume sports activities. Cite this article: EFORT Open Rev 2019;4:115-120. DOI: 10.1302/2058-5241.4.180052
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spelling pubmed-64919522019-05-03 Meniscus allograft transplantation: indications, techniques and outcomes Figueroa, Francisco Figueroa, David Calvo, Rafael Vaisman, Alex Espregueira-Mendes, João EFORT Open Rev Sports & Arthroscopy New indications for meniscal allograft transplantation (MAT) are being added, but the general expert opinion is that it is still a procedure reserved for symptomatic meniscal loss. Lateral MAT has better clinical outcomes and less failure risk compared to medial MAT. Ideal conditions (low-grade chondral lesions) make MAT a more survivable and successful procedure. Meniscal extrusion after MAT is common and does not seem to alter results. Midterm survivorship of a MAT is reported to be 85–90%, while long-term survivorship decreases to 50–70% depending on chondral status and concomitant procedures. Even if the procedure is a success, there are high possibilities of not being able to resume sports activities. Cite this article: EFORT Open Rev 2019;4:115-120. DOI: 10.1302/2058-5241.4.180052 British Editorial Society of Bone and Joint Surgery 2019-04-25 /pmc/articles/PMC6491952/ /pubmed/31057948 http://dx.doi.org/10.1302/2058-5241.4.180052 Text en © 2019 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Sports & Arthroscopy
Figueroa, Francisco
Figueroa, David
Calvo, Rafael
Vaisman, Alex
Espregueira-Mendes, João
Meniscus allograft transplantation: indications, techniques and outcomes
title Meniscus allograft transplantation: indications, techniques and outcomes
title_full Meniscus allograft transplantation: indications, techniques and outcomes
title_fullStr Meniscus allograft transplantation: indications, techniques and outcomes
title_full_unstemmed Meniscus allograft transplantation: indications, techniques and outcomes
title_short Meniscus allograft transplantation: indications, techniques and outcomes
title_sort meniscus allograft transplantation: indications, techniques and outcomes
topic Sports & Arthroscopy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6491952/
https://www.ncbi.nlm.nih.gov/pubmed/31057948
http://dx.doi.org/10.1302/2058-5241.4.180052
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