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Transosseous Equivalent Meniscus Allograft Transplantation Using an All‐Suture‐Based Anchor Technique

Year: 2026

Type: article

Abstract: Meniscal allograft transplantation is a surgical solution for symptomatic meniscal deficiency aimed at restoring native knee biomechanics and tibiofemoral contact pressures with the goal of slowing the progression of osteoarthritis. Anatomic fixation of the meniscal root is essential to a successful outcome as this normalizes native tibiofemoral contact pressures, restores hoop stresses, and improves graft survivorship. This is a technically challenging procedure with various techniques described that focus on the use of osseous and soft tissue-only fixation strategies. This technical note describes an all-inside method of posterior and anterior meniscal root fixation in the setting of a medial meniscal allograft transplantation using an all-suture-based transosseous equivalent fixation strategy that provides anatomic fixation while minimizing the tunnel and implant convergence concerns that often occur during concomitant realignment or instability surgery.

Source: Arthroscopy Techniques

DOI: 10.1002/atn2.70278

Authors: Megan E. Barney, Mikalyn T. DeFoor, Lily Swope, Trevor McBride, Emily R. McDermott, David J. Tennent

Institutions: Brooke Army Medical Center, Evans Army Community Hospital

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