Rapports de transplantation : accès libre

Abstrait

Methodical Review of Clinical Results after Medium Meniscus Allograft Transplantation Reveals Bettered Case Reported Issues at Lesser Than 5 Times Follow- Up

Chilan Ghosson

Purpose: To totally epitomize the medium MAT reported issues and estimate whether the surgical fashion is associated with allograft extrusion and knee function.

Methods: Methodical review was conducted according to PRISMA (Preferred Reporting particulars for Methodical Reviews and Meta- Analyses) guidelines. Addition criteria were English- language clinical studies involving arthroscopically supported medium MAT that reported the surgical fashion and the presence of graft extrusion and/ or functional issues after surgery. Studies in which issues for medium MAT couldn't be separated from side MAT were barred. Surgical fashion, allograft- related characteristics and clinical issues were uprooted.

Results: Twenty- four studies with 328 medium MAT were included. studies qualified as position 4 of substantiation,29.2 as position 3 and12.5 as position 2. Allograft obsession ways were bone draw (235/328 = 71.6), bone ground/ trough (55/328 = 16.8), and soft- towel fissure obsession only (38/328 = 11.6). Relative chance of extrusion post-surgery ranged from24.8 to53. Overall, functional scores bettered after medium MAT. None of surgical ways were associated with poor functional issues or extruded meniscus; still, on-anatomical placement of the anterior and posterior cornucopias appeared to increase meniscus extrusion.

Conclusion: Medium MAT provides favorable issues, with respectable rates of complication and failure anyhow of surgical fashion. While allograft extrusion appears original for bone draw and soft- towel obsession ways, situating allograft cornucopias at the native meniscal footmark may be critical for precluding extrusion. Still, the diversity and low position of substantiation of the studies included in this review help decisive conclusions regarding optimal MAT obsession ways, clinical significance of allograft extrusion, or relative clinical issues after medium MAT [1-3].