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Das vitale Meniskustransplantat

René Verdonk, P Van Daele, B Claus, K Vandenabeele, P Desmet, August Verbruggen UGent, Eric Veys and Hendrik Claessens (1994) ORTHOPADE. 23(2). p.153-159
abstract
The integrity of the semilunar cartilages has proved to be the best safeguard against mechanical degenerative changes. One can postulate that restoring normal congruency between the femur and tibia with intact menisci would be the ideal solution to many mechanical knee problems. Several semilunar cartilages have been transplanted with good functional results in medial and lateral compartmental meniscal disease. However, this form of chondroprotection in the load-bearing area of the femur and tibia can only be properly evaluated after 10 to 20 years of follow-up. In order to obtain functional results, meniscal allografts have to be incorporated in the knee joint by intimate meniscofemoral synovial bonding. The synovial fibroblasts must grow into the collagen meshwork of the meniscal allograft. Such ingrowth has been shown in freeze-dried and deep-frozen meniscal allografts. However, in a small number of transplants shrinking has been observed on repeat arthroscopy at 6 months. Satisfactory incorporation of meniscal allografts has been obtained with fresh allografts, but availability remains a problem when this method is used for meniscal substitution. For this reason viable meniscal allograft implantation was initiated in a series of 25 patients and the value of this method studied. The meniscal allograft can be kept in an adequate semisynthetic nutrient medium for approximately 2-3 weeks without apparent loss of viability, during which period the appropriate recipient can be selected and prepared, a thorough laboratory screening can be conducted, and the culture results and disease transmission factors can be evaluated. In this way, live transplant hazards can be avoided, resulting in a higher success rate.
Please use this url to cite or link to this publication:
author
organization
alternative title
Viable meniscal transplantation
year
type
journalArticle (original)
publication status
published
subject
keyword
MENISCAL ALLOGRAFT, VIABLE MENISCAL TRANSPLANTATION
journal title
ORTHOPADE
Orthopäde
volume
23
issue
2
pages
153 - 159
Web of Science type
Article
ISSN
0085-4530
language
German
UGent publication?
yes
classification
A1
id
197643
handle
http://hdl.handle.net/1854/LU-197643
date created
2004-01-14 13:42:00
date last changed
2016-12-19 15:39:02
@article{197643,
  abstract     = {The integrity of the semilunar cartilages has proved to be the best safeguard against mechanical degenerative changes. One can postulate that restoring normal congruency between the femur and tibia with intact menisci would be the ideal solution to many mechanical knee problems. Several semilunar cartilages have been transplanted with good functional results in medial and lateral compartmental meniscal disease. However, this form of chondroprotection in the load-bearing area of the femur and tibia can only be properly evaluated after 10 to 20 years of follow-up. In order to obtain functional results, meniscal allografts have to be incorporated in the knee joint by intimate meniscofemoral synovial bonding. The synovial fibroblasts must grow into the collagen meshwork of the meniscal allograft. Such ingrowth has been shown in freeze-dried and deep-frozen meniscal allografts. However, in a small number of transplants shrinking has been observed on repeat arthroscopy at 6 months. Satisfactory incorporation of meniscal allografts has been obtained with fresh allografts, but availability remains a problem when this method is used for meniscal substitution. For this reason viable meniscal allograft implantation was initiated in a series of 25 patients and the value of this method studied. The meniscal allograft can be kept in an adequate semisynthetic nutrient medium for approximately 2-3 weeks without apparent loss of viability, during which period the appropriate recipient can be selected and prepared, a thorough laboratory screening can be conducted, and the culture results and disease transmission factors can be evaluated. In this way, live transplant hazards can be avoided, resulting in a higher success rate.},
  author       = {Verdonk, Ren{\'e} and Van Daele, P and Claus, B and Vandenabeele, K and Desmet, P and Verbruggen, August and Veys, Eric and Claessens, Hendrik},
  issn         = {0085-4530},
  journal      = {ORTHOPADE},
  keyword      = {MENISCAL ALLOGRAFT,VIABLE MENISCAL TRANSPLANTATION},
  language     = {ger},
  number       = {2},
  pages        = {153--159},
  title        = {Das vitale Meniskustransplantat},
  volume       = {23},
  year         = {1994},
}

Chicago
Verdonk, René, P Van Daele, B Claus, K Vandenabeele, P Desmet, August Verbruggen, Eric Veys, and Hendrik Claessens. 1994. “Das Vitale Meniskustransplantat.” Orthopade 23 (2): 153–159.
APA
Verdonk, R., Van Daele, P., Claus, B., Vandenabeele, K., Desmet, P., Verbruggen, A., Veys, E., et al. (1994). Das vitale Meniskustransplantat. ORTHOPADE, 23(2), 153–159.
Vancouver
1.
Verdonk R, Van Daele P, Claus B, Vandenabeele K, Desmet P, Verbruggen A, et al. Das vitale Meniskustransplantat. ORTHOPADE. 1994;23(2):153–9.
MLA
Verdonk, René, P Van Daele, B Claus, et al. “Das Vitale Meniskustransplantat.” ORTHOPADE 23.2 (1994): 153–159. Print.