Roberson Troy A, Wyland Douglas J
Steadman Hawkins Clinic of the Carolinas, Greenville Health System, Greenville, South Carolina, U.S.A.
Arthrosc Tech. 2017 Apr 24;6(2):e483-e489. doi: 10.1016/j.eats.2016.11.009. eCollection 2017 Apr.
Meniscal allograft transplantation may slow the progression of degenerative changes in the meniscus-deficient knee. The current literature suggests patients can experience good early to mid-term satisfaction and patient-reported outcomes with reasonable expectations of return to work. More ambitious applications in athletes have also shown good results although long-term data are lacking. Traditionally, meniscal allograft transplantation has been considered an open procedure with incorporation of bone blocks from the allograft source. However, as arthroscopic techniques have advanced, it has become possible to perform this procedure through a predominantly arthroscopic approach while securing the soft tissue graft in bone tunnels. The current demonstration provides this background and technical pearls for success in arthroscopic meniscal allograft transplantation.
半月板同种异体移植可能会减缓半月板缺失膝关节退变的进展。当前文献表明，患者在早期至中期可获得良好的满意度，且患者报告的结果显示他们对恢复工作有合理的预期。在运动员中进行的更具挑战性的应用也显示出良好的效果，尽管缺乏长期数据。传统上，半月板同种异体移植被认为是一种开放性手术，需要植入来自同种异体来源的骨块。然而，随着关节镜技术的发展，通过主要的关节镜入路来实施该手术并将软组织移植物固定在骨隧道中已成为可能。本演示提供了关节镜下半月板同种异体移植成功的背景和技术要点。
