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<p>Meniscus loss in young patients can have devastating consequences due to the critical role of the human meniscus in the native knee joint. Meniscus loss can lead to symptoms like pain and restricted movement of the knee joint, resulting in decreased physical activity and a&#xa0;reduction in quality of life. Treatment of total meniscus loss challenges surgeons all over the world. Meniscus allograft transplantation (MAT) is a&#xa0;well-established and evidence-based treatment option for symptomatic total meniscus loss. Strict indication criteria form the cornerstone of treatment success. Preoperative diagnostic work-up should identify concomitant injuries/pathologies and pre-existing risk factors. With proper patient selection, MAT can achieve satisfactory and long-term improvements in all clinical and functional outcomes. Participation in sports/physical activity is still possible after MAT, although a&#xa0;lower activity level is often observed. Despite promising results, it must be considered that MAT is a&#xa0;salvage procedure. Reoperations, including joint replacement, are frequently required over time (&gt; 10&#xa0;years). This should be taken into account during patient counseling.</p>

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Meniskustransplantation

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年4月2日

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  • Philipp W. Winkler,
  • Florian Dirisamer

摘要

Meniscus loss in young patients can have devastating consequences due to the critical role of the human meniscus in the native knee joint. Meniscus loss can lead to symptoms like pain and restricted movement of the knee joint, resulting in decreased physical activity and a reduction in quality of life. Treatment of total meniscus loss challenges surgeons all over the world. Meniscus allograft transplantation (MAT) is a well-established and evidence-based treatment option for symptomatic total meniscus loss. Strict indication criteria form the cornerstone of treatment success. Preoperative diagnostic work-up should identify concomitant injuries/pathologies and pre-existing risk factors. With proper patient selection, MAT can achieve satisfactory and long-term improvements in all clinical and functional outcomes. Participation in sports/physical activity is still possible after MAT, although a lower activity level is often observed. Despite promising results, it must be considered that MAT is a salvage procedure. Reoperations, including joint replacement, are frequently required over time (> 10 years). This should be taken into account during patient counseling.