TY - JOUR
T1 - Editorial Commentary
T2 - Knee Meniscal Allograft Transplantation Results in Significantly Improved Outcomes in the Majority Patients, but There Is Wide Variability in the Rate at Which Athletes Return to Sports
AU - Palumbo, Noël E.
AU - Matava, Matthew J.
N1 - Publisher Copyright:
© 2021 Arthroscopy Association of North America
PY - 2022/4
Y1 - 2022/4
N2 - Meniscal allograft transplantation (MAT) is the reconstructive procedure of choice following a total or near-total meniscectomy for the symptomatic patient with a stable, well-aligned knee prior to the onset of degenerative arthritis. Historically, the goals were to eliminate symptoms with activities of daily living and improve longevity of the articular cartilage. However, athletically active individuals are rarely satisfied unless they return to their prior level of function, which is dependent on patient-specific, knee-specific, and sports-specific factors. Despite the fact that subjective patient-reported outcomes are significantly improved in the majority of MAT patients, there is wide variability in the rate at which athletic patients are able to return to sports, when they return, and their ultimate level of performance. We advise active individuals who undergo a MAT to pursue “low-impact” activities based on 10-year survivorship of 70% to 80%. Risk of a recurrent meniscal tear is the most common complication, and the ability of MAT to prevent osteoarthritis is unproven.
AB - Meniscal allograft transplantation (MAT) is the reconstructive procedure of choice following a total or near-total meniscectomy for the symptomatic patient with a stable, well-aligned knee prior to the onset of degenerative arthritis. Historically, the goals were to eliminate symptoms with activities of daily living and improve longevity of the articular cartilage. However, athletically active individuals are rarely satisfied unless they return to their prior level of function, which is dependent on patient-specific, knee-specific, and sports-specific factors. Despite the fact that subjective patient-reported outcomes are significantly improved in the majority of MAT patients, there is wide variability in the rate at which athletic patients are able to return to sports, when they return, and their ultimate level of performance. We advise active individuals who undergo a MAT to pursue “low-impact” activities based on 10-year survivorship of 70% to 80%. Risk of a recurrent meniscal tear is the most common complication, and the ability of MAT to prevent osteoarthritis is unproven.
UR - http://www.scopus.com/inward/record.url?scp=85127215268&partnerID=8YFLogxK
U2 - 10.1016/j.arthro.2021.12.033
DO - 10.1016/j.arthro.2021.12.033
M3 - Editorial
C2 - 35369929
AN - SCOPUS:85127215268
SN - 0749-8063
VL - 38
SP - 1362
EP - 1365
JO - Arthroscopy - Journal of Arthroscopic and Related Surgery
JF - Arthroscopy - Journal of Arthroscopic and Related Surgery
IS - 4
ER -