van Arkel E R A, de Boer H H
Atrium Medical Centre, Heerlen, The Netherlands.
J Bone Joint Surg Br. 2002 Mar;84(2):227-31. doi: 10.1302/0301-620x.84b2.12443.
We describe a prospective survival analysis of 63 consecutive meniscal allografts transplanted into 57 patients. The lateral meniscus was transplanted in 34, the medial meniscus in 17, and both menisci (combined) in the same knee in six. For survival analysis we used persistent pain or mechanical damage as clinical criteria of failure. A total of 13 allografts failed (5 lateral, 7 medial, 1 medial and lateral). A significant negative correlation (p = 0.003) was found between rupture of the anterior cruciate ligament (ACL) and successful meniscal transplantation. A significant difference (p = 0.004) in the clinical results was found between lateral and medial meniscal transplants. The cumulative survival rate of the lateral, medial and combined allografts in the same knee, based on the life-table method and the Kaplan-Meier calculation, was 76%, 50% and 67%, respectively. The survival of medial meniscal allografts may improve when reconstruction of the ACL is carried out at the same time as meniscal transplantation in an ACL-deficient knee.
我们描述了对连续63例同种异体半月板移植到57例患者中的前瞻性生存分析。其中34例移植外侧半月板，17例移植内侧半月板，6例在同一膝关节同时移植双侧半月板。对于生存分析，我们将持续疼痛或机械损伤作为失败的临床标准。共有13例同种异体移植失败（5例外侧，7例内侧，1例双侧）。发现前交叉韧带（ACL）断裂与半月板移植成功之间存在显著负相关（p = 0.003）。外侧和内侧半月板移植的临床结果存在显著差异（p = 0.004）。基于生命表法和Kaplan-Meier计算，同一膝关节中外侧、内侧及双侧同种异体移植的累积生存率分别为76%、50%和67%。在ACL缺失的膝关节中，当半月板移植同时进行ACL重建时，内侧半月板同种异体移植的生存率可能会提高。
