Acta Ortopédica Mexicana

Ortega-Orozco R, Rodríguez-Ávila NG, Miranda-Ramírez E, Casillas-Arista KS, Felipe-Gutiérrez J, Estrella-González CA, Huante-Pineda R
Meniscal transplant: clinical and functional experience at one year follow-up
Acta Ortop Mex 2018; 32 (6)

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

[Fulltext - PDF]


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.

Key words: Meniscus, transplant, evolution, surgery.


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