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The long-term protection [benefit] remains unknown. Many medial meniscus transplants fail in ACL-deficient knees. Conversely, ACL grafts bear higher loads in knees with deficient medial menisci, Rodeo said. Other studies showed greater laxity after ACL reconstruction, Rodeo said. Researchers found that patients who had ACL reconstruction with concomitant medial meniscus transplants had better stability than those who had ACLs reconstructions with persistent medial meniscus deficiency. In Europe, H. Other techniques play key roles in transplant success, Rodeo said.
For example, using attached bone plugs improved meniscal horn fixation and improved the anatomical relationship between the horns, Rodeo said. Also, meniscal horn fixation with sutures alone did not restore normal contact mechanics, Rodeo said. Combined meniscus transplant and cartilage resurfacing procedures show some promise despite scarce outcome data. Rodeo advised surgeons to consider the combined approach in complex cases in which meniscus deficiency is not the only issue. Many hurdles remain. For example, the suitable compartment for combined transplantation and resurfacing is unknown.
Also, osteotomy is not likely to make a compartment suitable for transplantation if there is condyle flattening, Rodeo said.
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Rodeo does not recommend prophylactic transplantation for an asymptomatic patient with normal articular cartilage. However, he does recommended the procedure to be considered for an asymptomatic patient with early articular cartilage degeneration. Advanced imaging such as MRI T2 mapping techniques should help physicians better diagnose cartilage degeneration, Rodeo said. Long-term results remain unknown.
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What are the Menisci?
Login Register My Saved. Ask whether you should stop taking any medicines ahead of time, like blood thinners. Tell your healthcare provider about all the medicines you take, including over-the-counter medicines like aspirin. Before your procedure, you may need additional imaging tests, like X-rays and magnetic resonance imaging MRI.
You may be able to go home on the day of your surgery. Talk with your healthcare provider ahead of time so that you can make the necessary arrangements for your recovery period.
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Before your surgery, a healthcare provider will carefully screen the donated meniscus for any signs of infection. One to two times per month, Virtual Advisors receive a link to short, interactive surveys. All responses are confidential. Your healthcare provider can help explain the details of your particular surgery. An orthopedic surgeon will perform the surgery. The whole operation may take a couple of hours.
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In general, you can expect the following:. You may receive spinal anesthesia and a medicine to help you relax. Your vital signs, like your heart rate and blood pressure, will be monitored during the operation. You may have a breathing tube inserted down your throat during the operation to help you breathe. After cleaning the affected area, your surgeon will make a small incision through the skin and muscle of your knee.
Your healthcare provider will insert a very small camera through this incision, using this camera to guide the surgery. Using very small instruments inserted through the incision, your surgeon will remove any remaining meniscus. Next, he or she will surgically sew the donated meniscus into the joint space. The healthcare provider might use screws or other devices to hold the meniscus in place. Talk with your healthcare provider about what you can expect after your surgery. In some cases, you may be able to go home a few hours after your surgery.
If so, make sure you have someone who can drive you home. In other cases, you may need to stay overnight at the hospital for monitoring. You may have some pain right after your surgery, but pain medicines may help to ease the pain. The pain should quickly begin to diminish, and you should have less pain than before your surgery. After your surgery, you will probably need to wear a knee brace for a few weeks. You might also need to use crutches during this time.
Your healthcare provider will give you instructions about how you can move your knee while you recover. You might need physical therapy for a few months to help you maintain your strength and range of motion. It may be several months before you can return to all your previous activities. You may have some fluid draining from your incision, which is normal.
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Let your healthcare provider know right away if you see an increase in redness, swelling, or draining from your incision, or if you have a high fever, chills, or severe pain. Make sure to keep all your follow-up appointments, so your healthcare provider can monitor your progress. Meniscus Surgery Grace's Story.
Why might I need meniscal transplant surgery? You have significant or persistent pain with activity, or you have an unstable knee. You have only minimal arthritis, or none at all. You have a knee with normal alignment and stable ligaments. You are not obese. What are the risks of meniscal transplant surgery?
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