Korean J Sports Med.  2011 Jun;29(1):15-20. 10.5763/kjsm.2011.29.1.15.

Meniscal Allograft Transplantation: Clinical Results and Recovery of Sports Activity

• Kim KM
• Chun CH
• Jeong KJ

• KMID: 2054003
• DOI: http://doi.org/10.5763/kjsm.2011.29.1.15

Abstract

The purpose of this study was to evaluate the clinical results and recovery of sports activity in patients who received meniscal allograft transplantation. From December 1999 to May 2009, we selected 36 cases out of 38 cases who received meniscal transplantation using fresh frozen allograft. The mean age was 33.8 years (range: 17-50 years) and the mean follow up was 68.8 months (range: 12-142 months). Clinical results were evaluated with knee assessment scoring system (KASS), Lysholm knee score and International knee Documentation Committee. The information of quadriceps and hamstrings strength recovery was obtained using Tegner activity scale, Tegner activity score and Biodex system II (Biodex, USA), and it was used to evaluate the recovery of sports activity. The average KASS score was increased from 61.7 preoperatively to 83.8 postoperatively. The average Lysholm score was increased from 77.7 preoperatively to 87.7 postoperatively. Also, Tegner activity scale, Tegner activity score and the recovery of quadriceps and hamstrings increased at 1year after surgery. In knee joint position sense, the proprioception increased compared to preoperational count. We propose the meniscal allograft transplantation is one of a proper treatment after subtotal or total meniscectomy, which can significantly relieve pain and improve function of the knee joint.

Keyword

Knee joint; Meniscus; Allograft meniscal transplantation

MeSH Terms

Follow-Up Studies
Humans
Knee
Knee Joint
Proprioception
Sports
Transplantation, Homologous
Transplants

Figure

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  Fig. 1. Arthroscopic findings shows. (A) Total menisectomy state. (B) Postoperative finding of meniscal transplantation.(C) MRI at 21 months after meniscal transplantation shows no evidence of meniscal tear or extrusion.

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