Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique

Lateral meniscus tears are common injuries encountered in association with acute anterior cruciate ligament tears. Although most tears can be repaired, some must be resected if deemed irreparable. Such patients who have undergone a subtotal lateral meniscectomy in the past are at an increased risk o...

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Main Authors: Sachin Tapasvi, M.S., D.N.B., F.R.C.S., Anshu Shekhar, M.S., Amit Meena, M.S., D.N.B., Jorge Chahla, M.D., Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001203
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author Sachin Tapasvi, M.S., D.N.B., F.R.C.S.
Anshu Shekhar, M.S.
Amit Meena, M.S., D.N.B.
Jorge Chahla, M.D., Ph.D.
author_facet Sachin Tapasvi, M.S., D.N.B., F.R.C.S.
Anshu Shekhar, M.S.
Amit Meena, M.S., D.N.B.
Jorge Chahla, M.D., Ph.D.
author_sort Sachin Tapasvi, M.S., D.N.B., F.R.C.S.
collection DOAJ
description Lateral meniscus tears are common injuries encountered in association with acute anterior cruciate ligament tears. Although most tears can be repaired, some must be resected if deemed irreparable. Such patients who have undergone a subtotal lateral meniscectomy in the past are at an increased risk of developing osteoarthritis. A lateral meniscus allograft transplant (LMAT) is a treatment option that allows treating the symptoms of a meniscal-deficient knee with the potential for improved joint longevity. The various techniques of an LMAT include using a bone trough, bone plugs at the roots, or a soft tissue graft. All of these techniques have produced equivalent clinical-radiologic results. The peripheral capsular suturing of the LMAT can be performed using any of the meniscus suturing techniques. An all-inside suturing of all areas of the allograft can be accomplished when a flexible all-inside repair device is used. This makes the procedure faster and eliminates the need for a “safety incision.” The technique described here employs an all-soft tissue lateral meniscus allograft, which is repaired at the roots via transtibial tunnels and peripheries using a flexible all-inside device. No specialized equipment or extra incisions are required, and the procedure can be performed rapidly and safely.
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spelling doaj-art-d98f10cdc45f4b25a9c92c79b3f48ee22025-08-20T04:00:32ZengElsevierArthroscopy Techniques2212-62872025-07-0114710355110.1016/j.eats.2025.103551Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside TechniqueSachin Tapasvi, M.S., D.N.B., F.R.C.S.0Anshu Shekhar, M.S.1Amit Meena, M.S., D.N.B.2Jorge Chahla, M.D., Ph.D.3The Orthopaedic Speciality Clinic, Pune, India; Address correspondence to Sachin Tapasvi, M.S., D.N.B., F.R.C.S., The Orthopaedic Speciality Clinic, 16, Status Chambers, Wrangler Paranjpe Lane, Fergusson College Road, Pune, Maharashtra, India. PIN- 411004.Department of Orthopaedics, Sri Rawatpura Sarkar Institute of Medical Sciences and Research, Raipur, IndiaDivision of Orthopedics, Shalby Multi-Specialty Hospital, Jaipur, IndiaRush University Medical Center, Chicago, Illinois, U.S.A.Lateral meniscus tears are common injuries encountered in association with acute anterior cruciate ligament tears. Although most tears can be repaired, some must be resected if deemed irreparable. Such patients who have undergone a subtotal lateral meniscectomy in the past are at an increased risk of developing osteoarthritis. A lateral meniscus allograft transplant (LMAT) is a treatment option that allows treating the symptoms of a meniscal-deficient knee with the potential for improved joint longevity. The various techniques of an LMAT include using a bone trough, bone plugs at the roots, or a soft tissue graft. All of these techniques have produced equivalent clinical-radiologic results. The peripheral capsular suturing of the LMAT can be performed using any of the meniscus suturing techniques. An all-inside suturing of all areas of the allograft can be accomplished when a flexible all-inside repair device is used. This makes the procedure faster and eliminates the need for a “safety incision.” The technique described here employs an all-soft tissue lateral meniscus allograft, which is repaired at the roots via transtibial tunnels and peripheries using a flexible all-inside device. No specialized equipment or extra incisions are required, and the procedure can be performed rapidly and safely.http://www.sciencedirect.com/science/article/pii/S2212628725001203
spellingShingle Sachin Tapasvi, M.S., D.N.B., F.R.C.S.
Anshu Shekhar, M.S.
Amit Meena, M.S., D.N.B.
Jorge Chahla, M.D., Ph.D.
Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique
Arthroscopy Techniques
title Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique
title_full Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique
title_fullStr Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique
title_full_unstemmed Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique
title_short Lateral Meniscus Allograft Transplantation: An All-Soft Tissue All-Inside Technique
title_sort lateral meniscus allograft transplantation an all soft tissue all inside technique
url http://www.sciencedirect.com/science/article/pii/S2212628725001203
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