Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone...

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Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

Transcript of Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone...

Page 1: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Allograft Meniscal Transplantation

by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo

J Bone Joint Surg AmVolume 84(7):1236-1250

July 1, 2002

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 2: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

The medial meniscus acts as a restraint to anterior tibial translation in the anterior cruciate ligament-deficient knee.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 3: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

A biopsy specimen from a deep-frozen human meniscal allograft, demonstrating incomplete cellular repopulation.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 4: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Figs. 3-A and 3-B Radiographs of a thirty-two-year-old man with a history of medial meniscectomy of the right knee.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 5: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

A 45° flexion weight-bearing posteroanterior radiograph demonstrating complete loss of the joint space in the medial compartment.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 6: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Meniscal sizing is performed by first correcting for magnification.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 7: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Meniscal sizing is performed by first correcting for magnification.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 8: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Figs. 5-A, 5-B, and 5-C Double-bone-plug technique.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 9: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Insertion of graft, including reduction suture.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 10: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Appearance upon completion.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 11: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Figs. 6-A, 6-B, and 6-C Keyhole method (Illustrations courtesy of CryoLife, Kennesaw, Georgia.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 12: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Graft prepared for insertion.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 13: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Graft in place and sutured.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 14: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Tibial trough method.

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 15: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Arthroscopic views of the knee of an eighteen-year-old woman following a subtotal medial meniscectomy (Fig. 8-A), after treatment with a medial meniscal allograft (Fig. 8-B), and at six

months following implantation as seen on second-look arthroscopy (Fig. ...

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 16: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Arthroscopic views of the knee of an eighteen-year-old woman following a subtotal medial meniscectomy (Fig. 8-A), after treatment with a medial meniscal allograft (Fig. 8-B), and at six

months following implantation as seen on second-look arthroscopy (Fig. ...

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 17: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Arthroscopic views of the knee of an eighteen-year-old woman following a subtotal medial meniscectomy (Fig. 8-A), after treatment with a medial meniscal allograft (Fig. 8-B), and at six

months following implantation as seen on second-look arthroscopy (Fig. ...

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.

Page 18: Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

Magnetic resonance imaging scan of a meniscal allograft at six months postoperatively, demonstrating the graft to have a normal position and size with minimal signal change at the

host-graft junction (Reprinted, with permission, from: Carter TR. Meniscal al...

Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236-1250

©2002 by The Journal of Bone and Joint Surgery, Inc.