ACL, Graft Failure, Meniscus Tear, Osteo Arthritis Knee, Patient Satisfaction
Conditions
Keywords
meniscus transplantation
Brief summary
Removal of meniscal tissue is described to result in poor knee function and a significant risk for future development of osteoarthritis. Different implants have been suggested to substitute a removed meniscus. Meniscal allograft transplantation is not widely available due to costs and availability. The semitendinosus tendon is a known graft with biological properties with potential to remodel and revascularize in an intraarticular environment such as anterior cruciate ligament reconstruction. The objective for this study was to investigate whether the semitendinosus tendon graft could function as a meniscal transplant.
Interventions
Description of novel surgical technique using autologous semitendinosus graft as meniscus transplant.
Sponsors
Study design
Eligibility
Inclusion criteria
* Previous subtotal or total meniscectomy * Post meniscectomy symptoms * No osteoarthritic changes on radiography more than Ahlbäck 1 * Knee aligment (hip-knee-angle) +/- 3° * No persisting ACL insufficiency
Exclusion criteria
* Difficulty understanding the instructions * Current psychiatric diagnosis * Smoking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Failure | 2 years | Surgical failure of transplant defined as meniscus symptoms (joint line tenderness, swelling, locking or positive McMurray) resulting in a need for re-arthroscopy and subtotal or total resection of the transplant. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improved subjective knee function | 2 years | Patient reported outcome measure using the Knee Injury and Osteoarthritis Outcome Score (KOOS), 0-100 where 100 indicate best possible result. |
Countries
Sweden