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Meniscal Allograft Transplantation With Hybrid Fixation to Optimize Graft Tension: A Surgical Technique

Year: 2025

Type: article

Abstract: Meniscal allograft transplantation is an established procedure for restoring knee joint biomechanics and potentially delaying osteoarthritis progression in symptomatic, meniscus-deficient patients. This Technical Note describes an arthroscopic meniscal allograft transplantation approach using a posterior root bone plug and anterior root soft tissue fixation. This hybrid fixation technique is designed to produce stable root fixation while allowing adjustment of the graft position to accommodate minor graft/recipient size mismatch. The surgical technique involves graft preparation, knee arthroscopy with removal of residual meniscus, posterior and anterior root fixation via independent transtibial tunnels, and circumferential fixation using a combination of all-inside and inside-out sutures.

Source: Arthroscopy Techniques

DOI: 10.1016/j.eats.2025.103818

Authors: Benjamin Trigg, Helena Franco, Francois Tudor

Institutions: Gold Coast Hospital, Bond University, Griffith University

Language: English

Topic: Knee injuries and reconstruction techniques

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $975