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Arthroscopy. 2013 Mar;29(3):514-21. doi: 10.1016/j.arthro.2012.10.029.

Open versus arthroscopic meniscus allograft transplantation: magnetic resonance imaging study of meniscal radial displacement.

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  • 1Department of Radiology, Ghent University Hospital, Ghent, Belgium. tineke.deconinck@ugent.be

Abstract

PURPOSE:

In this imaging study, the radial displacement of meniscal allograft transplants (MATs), inserted with 2 different techniques, namely open soft-tissue fixation and arthroscopic bone tunnel fixation, was compared 1 year postoperatively.

METHODS:

In this study, 37 patients received MATs: 16 MATs (10 lateral and 6 medial) were inserted by an open soft-tissue technique (open MATs), whereas 21 MATs (14 lateral and 7 medial) were implanted by an arthroscopic bone tunnel procedure (arthroscopic MATs). Radial displacement, in millimeters, was evaluated 1 year postoperatively on 1.5-T magnetic resonance images. The number of MATs with radial displacement larger or smaller than 3 mm was determined. To compare radial displacement of open versus arthroscopic MATs, the Mann-Whitney U test was used.

RESULTS:

The radial displacement of open lateral and medial MATs was significantly larger (all reported P < .02) than that of arthros-copic MATs. In all cases, both open and arthroscopic, the radial displacement of MATs was significantly larger (all reported P < .007) than that of normal menisci. Radial displacement of less than 3 mm was found in 0 of 6 patients with open medial MATs versus 6 of 7 patients with arthroscopic MATs and was found in 1 of 10 patients with open lateral MATs versus 4 of 14 patients with arthroscopic MATs.

CONCLUSIONS:

The radial displacement of MATs arthroscopically inserted with bone tunnel fixation is significantly less than the radial displacement of MATs inserted with open soft-tissue fixation. In addition, normal menisci displace significantly less than meniscal allografts. The clinical importance of radial displacement remains to be determined.

LEVEL OF EVIDENCE:

Level III, retrospective comparative study.

Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

PMID:
23544688
[PubMed - indexed for MEDLINE]
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