Abstract:
:A meniscal graft extrusion is still an unresolved problem that affects most patients after a meniscal transplantation. Despite the advances in surgical techniques, together with the improved methods for a meniscal allograft sizing, success is only observed in up to 75% of patients after they experience a meniscal allograft transplantation. Because a meniscal extrusion is associated with a cartilage deterioration and the progression of osteoarthritis there is a great interest in how to prevent this phenomenon. The crucial factor for the minimisation of a meniscal allograft extrusion is by perfectly matching the implant. Most methods for a meniscal allograft sizing only focus on assessing the length and the width of the meniscus. Even though there is some evidence that there is a relationship between the shape of the meniscus in a cross-sectional plane and the meniscal extrusion, any of the planning methods do not take this factor into consideration. Although there is a large variability of meniscus shapes in cross-section, we hypothesise that by taking the meniscal slope into account during surgical planning, as well as performing the correct adjustments of this particular parameter, we can diminish the risk of a meniscal allograft extrusion.
journal_name
Med Hypothesesjournal_title
Medical hypothesesauthors
Łuczkiewicz P,Daszkiewicz K,Chróścielewski J,Witkowski W,Kuik Ldoi
10.1016/j.mehy.2017.02.003subject
Has Abstractpub_date
2017-04-01 00:00:00pages
48-51eissn
0306-9877issn
1532-2777pii
S0306-9877(16)30880-5journal_volume
101pub_type
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