Surgical options for meniscal replacement.

@article{Brophy2012SurgicalOF,
  title={Surgical options for meniscal replacement.},
  author={Robert H. Brophy and Matthew J. Matava},
  journal={The Journal of the American Academy of Orthopaedic Surgeons},
  year={2012},
  volume={20 5},
  pages={
          265-72
        }
}
  • R. Brophy, M. Matava
  • Published 1 May 2012
  • Medicine
  • The Journal of the American Academy of Orthopaedic Surgeons
As a result of biologic issues and technical limitations, repair of the meniscus is indicated for unstable, peripheral vertical tears; most other types of meniscal tears that are degenerative, significantly traumatized, and/or located in an avascular area of the meniscus are managed with partial meniscectomy. Options to restore the meniscus range from allograft transplantation to the use of synthetic technologies. Recent studies demonstrate good long-term outcomes from meniscal allograft… 
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Meniscal repair: a review of current practice
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Meniscus tissue engineering is a fast developing field that promises to develop an implant that mimics the histologic and biomechanical properties of a native meniscus, as well as several synthetic implants that have shown some promise.
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The importance of preserving the function of the meniscus is seen with renewed interest, and new techniques have also recently allowed surgeons to address postmeniscectomy knee pain.
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TLDR
Current and future meniscal salvage treatments such as meniscal transplant, synthetic arthroplasty, and possible bioprinted meniscus to allow patients to maintain quality of life, limit pain, and delay osteoarthritis are reviewed.
Lateral Meniscal Allograft Transplantation: The Bone Trough Technique.
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TLDR
A review of materials and surgical techniques used to replace damaged menisci and how to stabilize the joint and the tissue within in it while healing occurs following reconstructive surgery of the meniscus.
A Current Update on Meniscal Scaffolds
TLDR
Surgical indications for meniscal scaffold implantation, preferred surgical technique, and postoperative rehabilitation protocol are described and preliminary published data appears to be promising, however, there are currently no medium- or long-term data available for the Actifit polymer scaffold.
The Meniscus-Deficient Knee Biomechanics , Evaluation , and Treatment Options
TLDR
Clinical and biomechanical studies have reported promising outcomes for MAT, HTO, and DFO in the postmeniscectomized knee, suggesting these procedures are effective options for young patients suffering from pain and functional limitations secondary to meniscal deficiency.
The Meniscus-Deficient Knee
TLDR
Clinical and biomechanical studies have reported promising outcomes for MAT, HTO, and DFO in the postmeniscectomized knee, suggesting these procedures are effective options for young patients suffering from pain and functional limitations secondary to meniscal deficiency.
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