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Meniscal transplantation: still experimental surgery?: a review

Kris Moens, Aad Dhollander, Peter Verdonk, René Verdonk, Karl Almqvist and Jan Victor UGent (2014) ACTA ORTHOPAEDICA BELGICA. 80(3). p.403-413
abstract
Introduction : the objective of this review is to give a state of affairs of meniscal transplantation, with the accent on preservation and surgical techniques. Materials and methods : All articles were selected by performing a search on the literature by using relevant keywords. The most relevant articles were selected with close attention to the publication date. Results : When a meniscal tear is diagnosed, suture can be an option in the vascular zone, whereas the more frequently affected avascular zone heals poorly. A meniscectomy however is not without consequences, wherefore meniscal transplantation can be seen as a therapeutic option for pain reduction and improvement of function when the meniscus is lost. The meniscal scaffold, allograft and autograft can be currently withheld as possible grafts, where the meniscal scaffolds hold great promise as an alternative to the allograft. Various fixation techniques are therefore developed, where viable, deep frozen as well as cryo-preservated allografts seem to give the most promising short term results. The transplantation can be performed using an open as well as an arthroscopic technique, using soft tissue fixation, bone plugs or blocks. De primacy of one technique can't be proven. In general meniscal transplantation can be considered as an acceptable procedure. Discussion : Since the outcomes of different studies are difficult to compare, an attempt should be made to limit new studies to the comparison of one aspect. We can conclude that larger, more comparative randomised controlled long-term studies are necessary to resolve which techniques can give the best long-term results.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
graft, OUTCOMES, surgical technique, indication, meniscus, transplantation, outcome, ALLOGRAFT TRANSPLANTATION, FOLLOW-UP, REHABILITATION, REPLACEMENT
journal title
ACTA ORTHOPAEDICA BELGICA
Acta Orthop. Belg.
volume
80
issue
3
pages
403 - 413
Web of Science type
Article
Web of Science id
000343848000016
JCR category
ORTHOPEDICS
JCR impact factor
0.654 (2014)
JCR rank
58/72 (2014)
JCR quartile
4 (2014)
ISSN
0001-6462
language
English
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
5780600
handle
http://hdl.handle.net/1854/LU-5780600
date created
2014-12-11 12:22:56
date last changed
2016-12-19 15:46:52
@article{5780600,
  abstract     = {Introduction : the objective of this review is to give a state of affairs of meniscal transplantation, with the accent on preservation and surgical techniques. 
Materials and methods : All articles were selected by performing a search on the literature by using relevant keywords. The most relevant articles were selected with close attention to the publication date. 
Results : When a meniscal tear is diagnosed, suture can be an option in the vascular zone, whereas the more frequently affected avascular zone heals poorly. A meniscectomy however is not without consequences, wherefore meniscal transplantation can be seen as a therapeutic option for pain reduction and improvement of function when the meniscus is lost. The meniscal scaffold, allograft and autograft can be currently withheld as possible grafts, where the meniscal scaffolds hold great promise as an alternative to the allograft. Various fixation techniques are therefore developed, where viable, deep frozen as well as cryo-preservated allografts seem to give the most promising short term results. 
The transplantation can be performed using an open as well as an arthroscopic technique, using soft tissue fixation, bone plugs or blocks. De primacy of one technique can't be proven. In general meniscal transplantation can be considered as an acceptable procedure. 
Discussion : Since the outcomes of different studies are difficult to compare, an attempt should be made to limit new studies to the comparison of one aspect. We can conclude that larger, more comparative randomised controlled long-term studies are necessary to resolve which techniques can give the best long-term results.},
  author       = {Moens, Kris and Dhollander, Aad and Verdonk, Peter and Verdonk, Ren{\'e} and Almqvist, Karl and Victor, Jan},
  issn         = {0001-6462},
  journal      = {ACTA ORTHOPAEDICA BELGICA},
  keyword      = {graft,OUTCOMES,surgical technique,indication,meniscus,transplantation,outcome,ALLOGRAFT TRANSPLANTATION,FOLLOW-UP,REHABILITATION,REPLACEMENT},
  language     = {eng},
  number       = {3},
  pages        = {403--413},
  title        = {Meniscal transplantation: still experimental surgery?: a review},
  volume       = {80},
  year         = {2014},
}

Chicago
Moens, Kris, Aad Dhollander, Peter Verdonk, René Verdonk, Karl Almqvist, and Jan Victor. 2014. “Meniscal Transplantation: Still Experimental Surgery?: a Review.” Acta Orthopaedica Belgica 80 (3): 403–413.
APA
Moens, Kris, Dhollander, A., Verdonk, P., Verdonk, R., Almqvist, K., & Victor, J. (2014). Meniscal transplantation: still experimental surgery?: a review. ACTA ORTHOPAEDICA BELGICA, 80(3), 403–413.
Vancouver
1.
Moens K, Dhollander A, Verdonk P, Verdonk R, Almqvist K, Victor J. Meniscal transplantation: still experimental surgery?: a review. ACTA ORTHOPAEDICA BELGICA. 2014;80(3):403–13.
MLA
Moens, Kris, Aad Dhollander, Peter Verdonk, et al. “Meniscal Transplantation: Still Experimental Surgery?: a Review.” ACTA ORTHOPAEDICA BELGICA 80.3 (2014): 403–413. Print.