caa a22 4500 605456038 CHVBK 20210128100215.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-013-2476-1 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2476-1 Arthroscopic meniscal allograft transplantation with two tibia tunnels without bone plugs: evaluation of healing on MR arthrography and functional outcomes [Elektronische Daten] [Thibaut Roumazeille, Shahnaz Klouche, Benoit Rousselin, Vito Bongiorno, Nicolas Graveleau, Nicolas Billot, Philippe Hardy] Introduction: Meniscal allograft transplantation seems to be a valid therapeutic option to restore the knee function and limit the development of osteoarthritis after menisectomy. No surgical technique has been shown to provide better results than others. The main objective of this study was to assess graft healing after arthroscopic meniscal allograft transplantation without bone plugs. Methods: This retrospective study included all patients who underwent arthroscopic meniscal allograft transplantation during 2005-2010. The meniscal horns were fixed through two tibia tunnels without bone plugs. The primary endpoint was graft healing according to Henning's criteria on MR arthrography (MRA) at 6-month follow-up. The secondary endpoints were the KOOS questionnaire, the IKDC score, measurement of the joint space and meniscal extrusion on both MRA at 6-month and MRI at last follow-up. The series included 22 patients, mean age 37±7.5years. The allograft was lateral in 20 cases and medial in 2 cases. The mean follow-up was 4.4±1.6years with one lost to follow-up. Results: MR arthrography was performed in 14/21 patients at 6-months of follow-up: 8/14 (57.1%) had total graft healing, 2/14 (14.3%) partial healing and 4/14 (28.6%) no healing. At final follow-up, all functional scores had significantly improved. The average pre- and post-operative joint space thickness was similar. MRI showed meniscal extrusion in 75% of patients. Conclusion: The meniscal allograft transplantation without bone plugs effectively treats painful and functional sequellae of meniscectomies. The graft healed in most patients at 6-month follow-up. The long-term clinical relevance of meniscal extrusion has to be evaluated. Level of evidence: Retrospective study, Level IV. Springer-Verlag Berlin Heidelberg, 2013 Meniscus allograft nationallicence Knee nationallicence MR arthrography nationallicence Roumazeille Thibaut Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Klouche Shahnaz Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Rousselin Benoit Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Bongiorno Vito Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Graveleau Nicolas Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Billot Nicolas Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Hardy Philippe Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 264-269 0942-2056 23:1<264 2015 23 167 https://doi.org/10.1007/s00167-013-2476-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2476-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Roumazeille Thibaut Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 700 1- Klouche Shahnaz Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 700 1- Rousselin Benoit Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 700 1- Bongiorno Vito Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 700 1- Graveleau Nicolas Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 700 1- Billot Nicolas Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 700 1- Hardy Philippe Hôpitaux Universitaires Paris Ile-de-France Ouest, AP-HP, 92100, Boulogne-Billancourt, France aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 264-269 0942-2056 23:1<264 2015 23 167