In this guide Mr Spalding and Prof Verdonk cover the basics of meniscal anatomy, function and pathophysiology followed by a step-by-step walk through of arthroscopic meniscal allograft transplantation.
For a video on the operative technique for Meniscal Allograft Transplantation please go to the VuMedi website where Mr Spalding has uploaded a video of the technique – click image
Operative Technique for Meniscal Allograft Transplantation
Arthroscopic Meniscal Allograft Transplantation With Soft-Tissue Fixation Through Bone Tunnels
Meniscal allograft transplantation improves clinical outcomes for patients with symptomatic meniscus-deficient knees. Read online how Tim and his co-author We describe an established arthroscopic technique for meniscal allograft transplantation without the need for bone fixation of the meniscal horns.
After preparation of the meniscal bed, the meniscus is parachuted into the knee through a silicone cannula and the meniscal horns are fixed with sutures through bone tunnels. The body of the meniscus is then fixed with a combination of all-inside and inside-out sutures. This technique is reliable and reproducible and has clinical outcomes comparable with those of bone plug fixation techniques.
- Tim Spalding F.R.C.S.(Orth)
- Ben Parkinson F.R.A.C.S.Orth
- Nick A. Smith, M.Sc., M.R.C.S.
- Peter Verdonk, Ph.D.
Published Online: October 12, 2015
Accepted: June 2, 2015
Received: February 16, 2015