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Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013)

arthroscopy-150x150 Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013) Journal Club Meniscus | JC Sports Medicine | JC
Chalmers PN, Karas V, Sherman SL, Cole BJ. Return to high-level sport after meniscal allograft transplantation. Arthroscopy. 2013 Mar;29(3):539-44. doi: 10.1016/j.arthro.2012.10.027. Epub 2013 Jan 29. PubMed PMID: 23375179.


In this retrospective review from Arthroscopy, Brian Cole’s group studied 13 patients undergoing meniscal transplant, with a minimum 2 year follow-up. Mean age was 19.8 years, mean follow-up 3.3 years.

arthroscopy-150x150 Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013) Journal Club Meniscus | JC Sports Medicine | JC   Screenshot-2017-05-16-21.26.22 Return to High Level Sports After Meniscal Transplant (Arthroscopy 2013) Journal Club Meniscus | JC Sports Medicine | JC

The 13 athletes were a combination of high school, professional, and college athletes who underwent meniscal transplant. Cole’s group followed them longitudinally and collected patient reported outcomes (PROs) to objectively assess their improvement. 77% of the patients returned to their desired activity level, and 70% of those retired to their desired level of play. Patient reported outcomes improved from the preoperative to the postoperative state. 23% of the patients required a revision operation (revision meniscus transplant, menisectomy, or meniscus repair).

The study was limited by a small sample size, relatively short follow-up time, retrospective nature with no control group, Level IV evidence, and lack of second look arthroscopy or routine postoperative advanced imaging.

 

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