meniscal allograft transplantation rationale for treatment
title "Meniscal allograft transplantation", abstract "Meniscal tears are the most common knee injuries, with a reported annual incidence of 61 per 100,000 people . For years meniscectomy has been considered the gold standard treatment for meniscal lesions Meniscal allograft transplantation is surgery in which a meniscus -- a c-shaped cartilage in the knee -- is placed into your knee. The new meniscus is taken from a person who has died (cadaver) and donated their tissue. Meniscal allograft transplantation (MAT) using a human donor meniscus ( allograft) was developed to treat the symptoms of joint overload following meniscectomy. We were interested to find out more, as were the authors of this review. COVERAGE RATIONALE. Meniscus allograft transplantation with human cadaver tissue is proven and medically necessary for replacement of majorHayes, Inc. Health Technology Brief. Collagen Meniscus Implant (CMI), Menaflex Ivy Sports Medicine LLC) for Treatment of Meniscal Tears. . Optimal management for this condition is controversial given the up-front cost difference between the two treatment options: the more expensive meniscal allograft transplantation compared with standard partial meniscectomy. Meniscal allograft transplantation may be considered medically necessary when performed in combination, either concurrently or sequentially, with treatment of focal articular cartilage lesionsPlans may consider requiring prior approval or preauthorization for meniscal allograft. Rationale. Even though no studies have compared the results of autograft tendon transplantation with allograft meniscus transplantation in meniscal replacement, and even though tendonPossible topics for future research are: Is meniscus replacement better than debridement as pain treatment ? Meniscal allograft transplantation is surgery in which a meniscus -- a c-shaped cartilage in the knee -- is placed into your knee. The new meniscus is taken from a person who has died (cadaver) and donated their tissue. This shareable PDF can be hosted on any platform or network and is fully compliant with publisher copyright. Meniscal allograft transplantation: Rationale for treatment.
N. A. Smith, M. L. Costa, T. Spalding. 30.3). The meniscal allograft can then be shuttled through the same small medial arthrotomy (enlarged anterior portal).Finally, in conjunction with either cartilage resurfacing or osteotomy, meniscal transplantation is always completed first. Key words: meniscal allograft transplantation, arthroscopy, allarthroscopic, knee, instrument.5. Smith NA, Costa ML and Spalding T: Meniscal allograft trans plantation: Rationale for treatment. The treatment of meniscal pathology has undergone a dramatic change over the past thirty years.In May of 1984, Milachowski performed the first meniscal allograft transplantation at the Munich-GroBhaden University Hospital.53 Since that time, scientific investigators have attempted to use Traditionally, meniscal allograft transplantation. was contraindicated in the presence of severe chondral loss (Outerbridge IV62/ICRS 3b or worse63).Anatomical and functional charac-teristics, and a rationale for clinical treatment.
J Anat 1998193:161178. To assess the chondroprotective effects of a new meniscal allograft transplantation animal model and evaluate a magnetic resonance imaging parameter, T2 mapping, in articular cartilage after meniscectomy and meniscal transplantation. Meniscal allograft transplantation is a type of surgery in which a new meniscus, a cartilage ring in the knee, is placed into your knee.If you have had a knee arthroscopy and still have pain in your knee, meniscal transplantion may be an effective treatment option for you. In symptomatic discoid medial meniscus, partial meniscectomy is the principal treatment method and can yield promising short-term results.Meniscal allograft transplantation in complicated discoid medial meniscus was performed. Dr. Jeffrey Halbrecht specializes in meniscus transplantation as a cutting edge treatment for torn or degenerated menisci.Meniscus Transplantation (Meniscal Allografts). What is it? Who is eligible? A meniscal allograft is a real meniscus that has been obtained from a deceased donorMeniscal allograft transplantation involves surgically implanting a new meniscus into the knee to replace a missing meniscus Arthritis Treatment. Arthroscopic Surgery.Meniscal Allograft Transplantation. The meniscus serves a vital role in protecting the knee from injury while allowing the knee to function in a normal manner. Background : Meniscal tears are common knee injuries. Meniscal allograft transplantation (MAT) has been advocated to alleviate symptoms and delay osteoarthritis (OA) after meniscectomy. We investigated (1) the long-term outcome of MAT as a treatment of symptomatic meniscectomy, (2) Meniscal allograft transplantation. Also known as: Meniscus transplant, Surgery - knee - meniscus transplant, Surgery - knee - cartilage or Arthroscopy - knee - meniscus transplant. This article is intended to present a concise overview of the limited published results for osteochondral and meniscal allografting in the athletic population and to provide a practical treatment algorithm that is of relevance to the clinician as well as the patient/football player Meniscal allograft transplantation (MAT) has been considered as one of the few viable treatment options for the young meniscectomized knees based on various animal experiments and clinical studies. Nicole A. Friel, Mark A. Slabaugh, Brian J. Cole. Surgical treatment of meniscus lesions has changed significantly over time.For patients for whom meniscal preservation is not an option, meniscal allograft transplantation can be done for a select subset of patients who have become symptomatic symptoms, including recurrent effusions, pain, and instability.7,8 Meniscal allograft transplantation (MAT). is used as a surgical option for young patients with symptomatic meniscal deciency.7,8 Surgical treatment principles for successful MAT include addressing. Meniscal allograft transplantation has emerged as a treatment option for selected meniscus-deficient patients to restore normal meniscal function and forestall progressive joint degeneration. Meniscal allograft transplantation has principally been carried out for pain in patients who have had a meniscectomy.It is scientifically plausible that meniscal allograft transplantation is protective of cartilage, but this has not been established clinically to date. meniscal allograft transplantation. Filter by Type. Show All.Meniscal Transplant Procedure. The dovetail technique simplifies graft preparation with a time-saving series of cuts preparing the bone component of the graft to sit securely in the recipient semi-trapezoidal slot created in the tibia. Meniscal allograft transplantation involves surgically grafting a donor meniscus into the knee of a patient. Patients who have undergone meniscal repair procedures and meniscectomy may benefit from the procedure. COVERAGE RATIONALE. Meniscus allograft transplantation with human cadaver tissue is proven and medically necessary for replacement of majorHayes, Inc. Health Technology Brief. Collagen Meniscus Implant (CMI), Menaflex Ivy Sports Medicine LLC. for Treatment of Meniscal Tears. Policy Coverage Criteria.
Treatment Meniscal allograft transplantation.Meniscal allograft transplantation may be considered medically necessary. Replace Policy - Policy statement unchanged rationale section and references updated. Meniscal allograft transplantation has emerged as a treatment option for selected meniscus-deficient patients to restore normal meniscal function and forestall progressive joint degeneration. Meniscal allograft transplantation can be performed using either open or arthroscopically assisted techniques, or a combination of those .Long-term follow-up meniscus tear treatment in stable anterior cruciate ligament reconstructions. Clin Orthop Relat Res 172:148153. While many meniscus tears can be addressed with simple meniscectomy or repair, relatively young patients with irreparable menisci or previous total meniscectomies may benefit from alternative treatment such as meniscal allograft transplant. Surgical treatment options (microfracture, drilling, mosaicplasty, and allograft transplantation) for cartilage injuries of the knee in adults.Hence, the majority of clinical trials available in the literature for cartilage lesion in the knee include meniscal and ligament injuries (Gudas 2013). Meniscal Transplantation Alternatives. Nonsurgical treatment: unloading braces, activity modifications, nonimpact exercises, and NSAIDs.Most tissue banks use plain radiographs for allograft sizing as described by Pollard. (Pollard ME, Arthroscopy 199511:684). Combined meniscal allograft transplantation and ACL reconstruction has been advocated to treat this combined deficiency. A size-matched meniscus allograft is transplanted into the appropriate compartment. Meniscal Allograft Transplant. Precertification-Clinical Worksheet. Phone: 800-442-9300 / Fax: 800-848-3623. Disabling knee pain refractory to conservative treatment. Ligamentous stability prior to surgery or achieved concurrently with meniscal transplantation Documented mild to Discusses the rationale of meniscus transplant and biologic joint replacement for athletes and people with arthritis.Meniscal Allograft Transplantation. Goble Knee Clinic is a destination surgical clinic for patients seeking individualized and specialized treatment of specific knee injuries. Meniscal Transplantation. Background and Rationale.Meniscal allograft transplantation provides a viable option for patients with previous meniscectomy or subtotal meniscectomy and arthrosis of the knee. Despite a trend towards meniscus-preserving surgery, many tears are irreparable, and many repairs fail. Meniscal allograft transplantation has principally been carried out for pain in patients who have had a meniscectomy. But where does meniscal allograft transplantation (MAT) fit in the treatment algorithm for patients with pain following loss of a functional meniscus ?Smith NA, Costa ML, Spalding T (2015) Meniscal allograft transplantation: rationale for treatment. Meniscal Allograft Transplantation. CARTILAGE PROTECTION ????. Ren Verdonk Peter Verdonk F. Almqvist. Department of Orthopaedic Surgery Director: Prof. Dr. R. Verdonk Ghent University Hospital Belgium. Meniscus lesions. Meniscal allograft transplantation is a type of surgery in which a new meniscus, a cartilage ring in the knee, is placed into your knee. The new meniscus is taken from a person who has died (cadaver). Meniscal allograft transplantation. Meniscus transplant Surgery - knee - meniscus transplant Surgery - knee - cartilage Arthroscopy - knee - meniscusThe information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. They all received a meniscal allograft transplantation after meniscectomy.The authors have been studying the results of this treatment method since 1995. Patients are not reevaluated in a clinical setting, but rather, fill out several surveys sent to them by mail. Meniscal allograft transplantation is undertaken to improve pain and function in patients with a symptomatic meniscal deficient knee compartment.There isnt other treatment than meniscal replacement. Keywords: meniscus allograft transplantation T2 mapping cartilage. Meniscal transplantation has become a viable surgical option for patients with symptomatic meniscal deficiency. Copyright 2014 United HealthCare Services, Inc. 1. COVERAGE RATIONALE.Meniscal allograft transplantation is a surgical procedure that has been proposed as treatment for a subset of patients with irreparable meniscal tears, or who have undergone previous total meniscectomy. Meniscal allograft transplantation has emerged as a treatment option for selected meniscus-deficient patients to restore normal meniscal function and forestall progressive joint degeneration.