Acta Ortopédica Mexicana

Chana-Rodríguez F, Villanueva-Martínez M, Rojo-Manaute JM, Pérez-Mañanes R, Mediavilla-Santos L, Vaquero-Martín J
Total knee arthroplasty in a patient with meniscal transplantation
Acta Ortop Mex 2013; 27 (6)

Language: Español
References: 16
Page: 402-404
PDF: 188.79 Kb.

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Background: The natural history of a knee subjected to total meniscectomy leads to poor outcomes, so we should be careful with these lesions. Meniscal transplantation may be a proper treatment for these patients as it involves a good medium-term survival. Material and method: We report the case of a 52 year-old male who underwent meniscal transplantation and developed left gonarthrosis. The surgical approach consisted of medial longitudinal arthrotomy and implantation of a posterior stabilized prosthesis after releasing the soft tissues, which were very retracted. Results: At the one year follow-up the operated knee had an articular range of 0-110o, with no gap and no pain; no external support was required for walking. Conclusions: Despite the fact that most case series report good short- and medium-term results, some patients do not have good results and need a total knee prosthesis.

Key words: Arthroplasty, knee, graft, meniscus.


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