allograft meniscal transplantation by brian j. cole, thomas r. carter, and scott a. rodeo j bone...
TRANSCRIPT
![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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/1.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/2.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/3.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/4.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/5.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/6.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/7.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/8.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/9.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/10.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/11.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/12.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/13.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/14.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/15.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/16.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/17.jpg)
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](https://reader036.vdocuments.us/reader036/viewer/2022062300/56649d205503460f949f45bd/html5/thumbnails/18.jpg)
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.