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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 2, 227-231.
doi: 10.1302/0301-620X.84B2.12443  
Copyright © 2002 by British Editorial Society of Bone and Joint Surgery
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Survival analysis of human meniscal transplantations

E. R. A. van Arkel, MD, PhD, Orthopaedic Surgeon

Department of Orthopaedic Surgery, MCH Westeinde Hospital, PO Box 432, 2501 CK Den Haag, The Netherlands.

H. H. de Boer, PhD, Orthopaedic Surgeon

Department of Orthopaedic Surgery, Atrium Medical Centre, Heerlen, The Netherlands.

Correspondence should be sent to Dr E. R. A. van Arkel.

We describe a prospective survival analysis of 63 consecutive meniscal allografts transplanted into 57 patients. The lateral meniscus was transplanted in 34, the medial meniscus in 17, and both menisci (combined) in the same knee in six. For survival analysis we used persistent pain or mechanical damage as clinical criteria of failure. A total of 13 allografts failed (5 lateral, 7 medial, 1 medial and lateral).

A significant negative correlation (p = 0.003) was found between rupture of the anterior cruciate ligament (ACL) and successful meniscal transplantation. A significant difference (p = 0.004) in the clinical results was found between lateral and medial meniscal transplants.

The cumulative survival rate of the lateral, medial and combined allografts in the same knee, based on the life-table method and the Kaplan-Meier calculation, was 76%, 50% and 67%, respectively. The survival of medial meniscal allografts may improve when reconstruction of the ACL is carried out at the same time as meniscal transplantation in an ACL-deficient knee.




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 J Am Acad Orthop SurgHome page
J. K. Sekiya and C. I. Ellingson
Meniscal allograft transplantation.
J. Am. Acad. Ortho. Surg., March 1, 2006; 14(3): 164 - 174.
[Abstract] [Full Text] [PDF]


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General