Department of Orthopaedic and Traumatology, Medicine School of Ankara University, Ankara, Turkey.
Knee Surg Sports Traumatol Arthrosc. 2012 Jan;20(1):109-13. doi: 10.1007/s00167-011-1556-3. Epub 2011 May 26.
The treatment of meniscal tears has changed since the early 1980s. Meniscus transplantation emerged as a treatment option during that period. This study aims to present the long-term results of the first lyophilised meniscus allograft transplants in Turkey.
Between 1990 and 1992, four transplants of the medial meniscus combined with anterior cruciate ligament (ACL) reconstruction were performed on patients with a history of medial meniscectomy and anterior knee instability at our institution. For all patients who underwent meniscus lyophilised allograft transplantation and revision ACL reconstruction, clinical outcomes were evaluated over a mean period of 19 years of postoperative follow-up by clinical assessment, Tegner score, Lysholm score, Knee Society Score, radiography and magnetic resonance imaging (MRI).
The median value of Tegner score was 3 before index surgery and 2.5 at year 19 postoperatively. The median value of Lysholm score was 60.5 before index surgery and 62.5 at year 19. All of the patients had Outerbridge grade IV osteoarthritis by X-ray examination at year 19.
Successful meniscus transplantation depends on many factors. This study examines the effect of allografts on these factors and describes experiences with lyophilised allografts in four male patients.
IV.
自 20 世纪 80 年代初以来，半月板撕裂的治疗方法发生了变化。半月板移植作为一种治疗选择在这一时期出现。本研究旨在介绍土耳其首例冻干半月板同种异体移植的长期结果。
在 1990 年至 1992 年间，我们机构对内侧半月板切除术和前膝关节不稳定病史的患者进行了 4 例内侧半月板联合前交叉韧带（ACL）重建的移植。对于所有接受半月板冻干同种异体移植和 ACL 重建翻修的患者，通过临床评估、Tegner 评分、Lysholm 评分、膝关节协会评分、影像学和磁共振成像（MRI）对术后平均 19 年的随访进行了临床结果评估。
术前的 Tegner 评分中位数为 3，术后 19 年为 2.5。术前 Lysholm 评分中位数为 60.5，术后 19 年为 62.5。所有患者在术后 19 年的 X 线检查中均存在外侧壁 4 级骨关节炎。
成功的半月板移植取决于许多因素。本研究检查了同种异体移植物对这些因素的影响，并描述了在 4 名男性患者中使用冻干同种异体移植物的经验。
IV。
