caa a22 4500 605456097 CHVBK 20210128100216.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00167-014-3291-z doi (NATIONALLICENCE)springer-10.1007/s00167-014-3291-z Meniscal allograft with or without osteotomy: a 15-year follow-up study [Elektronische Daten] [Hussain Kazi, Wael Abdel-Rahman, Philip Brady, John Cameron] Purpose: To assess survivorship of meniscal allografts and the benefit of concomitant osteotomy. Methods: A retrospective review was performed of all patients who had meniscal allograft surgery±osteotomy. Fresh frozen meniscal allograft was sutured in place using an onlay technique. Osteotomies were performed in patients with malalignment. We recorded any further intervention required. Survivorship was assessed defining failure as being scheduled or having received a total knee arthroplasty (TKA). Results: Mean age was 40years. Primary diagnosis was degeneration after previous meniscal injury. Eighty-six allografts were performed, 43 of the medial meniscus and 41 of the lateral meniscus. One patient had implantation of both medial and lateral menisci. Simultaneous osteotomy was performed in 53 patients. Seven patients underwent simultaneous anterior cruciate ligament reconstruction. Mean follow-up was 180months. At the time of writing, 61 allografts (71%) remain in situ with adequate function. Fifteen allografts required arthroscopy and meniscal debridement at a mean of 68months postop. Twenty-four allografts (28%) went on to degenerate and required TKA at a mean of 149months postop. There was no significant difference in the survival for isolated allograft±osteotomy of either the medial meniscus, lateral meniscus or patients requiring arthroscopic intervention (n.s.). Conclusions: Meniscal allograft is a viable solution to meniscal loss in the young patient. Survivorship is good, providing a mean of 12.4years prior to TKA in those requiring conversion with 71% of allografts still in situ at a mean of 15years post-surgery. Level of evidence: Therapeutic, retrospective, Level IV. European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA), 2014 Meniscus nationallicence Allograft nationallicence Osteotomy nationallicence Malalignment nationallicence Survivorship nationallicence Kazi Hussain Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut Abdel-Rahman Wael Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut Brady Philip Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut Cameron John Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 303-309 0942-2056 23:1<303 2015 23 167 https://doi.org/10.1007/s00167-014-3291-z 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/s00167-014-3291-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kazi Hussain Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut NATIONALLICENCE 700 1- Abdel-Rahman Wael Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut NATIONALLICENCE 700 1- Brady Philip Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut NATIONALLICENCE 700 1- Cameron John Holland Orthopaedic and Arthritic Centre, Sunnybrook Health Sciences Centre, 43 Wellesley Street East, M4Y 1H1, Toronto, Ontario, Canada aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/1(2015-01-01), 303-309 0942-2056 23:1<303 2015 23 167