medigraphic.com
SPANISH

Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2018, Number 6

<< Back Next >>

Acta Ortop Mex 2018; 32 (6)

Meniscal transplant: clinical and functional experience at one year follow-up

Ortega-Orozco R, Rodríguez-Ávila NG, Miranda-Ramírez E, Casillas-Arista KS, Felipe-Gutiérrez J, Estrella-González CA, Huante-Pineda R
Full text How to cite this article 10.35366/85426

DOI

DOI: 10.35366/85426
URL: https://dx.doi.org/10.35366/85426

Language: Spanish
References: 20
Page: 329-333
PDF size: 195.76 Kb.


Key words:

Meniscus, transplant, evolution, surgery.

ABSTRACT

Introduction: In Mexico, the first meniscus transplant was performed in 2002. The objective was to describe the clinical evolution of patients with pain associated with postmenisectomy syndrome, who underwent meniscal allograft transplantation (MAT), with bony blocks via arthroscopy, with follow-up to one year. Material and methods: A retrospective cohort study with a one-year follow-up was conducted. We included patients with joint interlining pain secondary to partial or total menisectomy, between 15 and 55 years of age, of both sexes, who underwent MAT. The clinical evolution was evaluated with visual analogue scale (VAS), SF-36 and Lysholm scale; the results are described in frequencies, percentages and p value was significant at ‹ 0.05. Results: We included nine patients; eight men and one woman with an age of 31.3 years (16-52), the follow-up was 16.6 months (12-23). The preoperative VAS was 8.5 (6-10) and, at one year of follow-up, the average of this scale was 1.25 (0-5) (p ‹ 0.001). In the follow-up one year after the MAT, the Lysholm scale was on average 91 (68-100) and the SF-36 was on average 79.17 (65-92.92); three patients returned to their sports practice prior to the injury. Conclusion: This is the first report in Mexico that describes the one year follow-up of the MAT; significant clinical improvement was demonstrated (p ‹ 0.001) with remission of pain in the knee with previous menisectomy and in some cases the return to sports practice.


REFERENCES

  1. Makris EA, Hadidi P, Athanasiou KA. The knee meniscus: structure-function, pathophysiology, current repair techniques, and prospects for regeneration. Biomaterials. 2011; 32(30): 7411-31.

  2. Rosso F, Bisicchia S, Bonasia DE, Amendola A. Meniscal allograft transplantation: a systematic review. Am J Sports Med. 2015; 43(4): 998-1007.

  3. Dandy DJ, Jackson RW. Meniscectomy and chondromalacia of the femoral condyle. J Bone Joint Surg Am. 1975; 57(8): 1116-9.

  4. Fairbank TJ. Knee joint changes after meniscectomy. J Bone Joint Surg Br. 1948; 30B(4): 664-70.

  5. Johnson RJ, Kettelkamp DB, Clark W, Leaverton P. Factors effecting late results after meniscectomy. J Bone Joint Surg Am. 1974; 56(4): 719-29.

  6. Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961; 43-B: 752-7.

  7. Cole BJ, Dennis MG, Lee SJ, Nho SJ, Kalsi RS, Hayden JK, et al. Prospective evaluation of allograft meniscus transplantation: a minimum 2-year follow-up. Am J Sports Med. 2006; 34(6): 919-27.

  8. Milachowski KA, Weismeier K, Wirth CJ. Homologous meniscus transplantation. Experimental and clinical results. Int Orthop. 1989; 13(1): 1-11.

  9. Keene GC, Paterson RS, Teague DC. Advances in arthroscopic surgery. Clin Orthop Relat Res. 1987; (224): 64-70.

  10. Alhalki MM, Hull ML, Howell SM. Contact mechanics of the medial tibial plateau after implantation of a medial meniscal allograft. A human cadaveric study. Am J Sports Med. 2000; 28(3): 370-6.

  11. Paletta GA Jr, Manning T, Snell E, Parker R, Bergfeld J. The effect of allograft meniscal replacement on intraarticular contact area and pressures in the human knee. A biomechanical study. Am J Sports Med. 1997; 25(5): 692-8.

  12. Bin SI, Nha KW, Cheong JY, Shin YS. Midterm and long-term results of medial versus lateral meniscal allograft transplantation: a meta-analysis. Am J Sports Med. 2018; 46(5): 1243-1250.

  13. Berumen-Nafarrate E. Una historia que vale la pena contarse. Carta al editor. Acta Ortop Mex. 2002; 16(4): 241.

  14. Camacho-Franco L, Tarazona-Velutini P, Montalvo-Galindo M, Rivera-Ramírez A, Zamora-Muñoz P, Testas-Hermo M. Trasplante meniscal. Reporte de un caso con ocho meses de seguimiento. Acta Ortop Mex. 2005; 19(2): 75-9.

  15. Cruz-Lopez F, Olivos-Meza A, Llano-Rodríguez LT, Ibarra C. Arthroscopic meniscal transplantation technique. J Sports Med Doping Stud. 2015; 6: 171.

  16. Getgood A, LaPrade RF, Verdonk P, Gersoff W, Cole B, Spalding T; IMREF Group. International meniscus reconstruction experts forum (IMREF) 2015 consensus statement on the practice of meniscal allograft transplantation. Am J Sports Med. 2017; 45(5): 1195-1205.

  17. Yoon JR, Jeong HI, Seo MJ, Jang KM, Oh SR, Song S, et al. The use of contralateral knee magnetic resonance imaging to predict meniscal size during meniscal allograft transplantation. Arthroscopy. 2014; 30(10): 1287-93.

  18. van der Wal RJ, Thomassen BJ, van Arkel ER. Long-term clinical outcome of open meniscal allograft transplantation. Am J Sports Med. 2009; 37(11): 2134-9.

  19. Hommen JP, Applegate GR, Del Pizzo W. Meniscus allograft transplantation: ten-year results of cryopreserved allografts. Arthroscopy. 2007; 23(4): 388-93.

  20. Sekiya JK, West RV, Groff YJ, Irrgang JJ, Fu FH, Harner CD. Clinical outcomes following isolated lateral meniscal allograft transplantation. Arthroscopy. 2006; 22(7): 771-80.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Ortop Mex. 2018 Nov-Dic;32