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High meniscal slope angle as a risk factor for meniscal allograft extrusion

Abstract

A meniscal graft extrusion is still an unresolved problem that affects most patients after a meniscal transplantation. Despite the advances in surgical techniques, together with the improved methods for a meniscal allograft sizing, success is only observed in up to 75% of patients after they experience a meniscal allograft transplantation. Because a meniscal extrusion is associated with a cartilage deterioration and the progression of osteoarthritis there is a great interest in how to prevent this phenomenon. The crucial factor for the minimisation of a meniscal allograft extrusion is by perfectly matching the implant. Most methods for a meniscal allograft sizing only focus on assessing the length and the width of the meniscus. Even though there is some evidence that there is a relationship between the shape of the meniscus in a cross-sectional plane and the meniscal extrusion, any of the planning methods do not take this factor into consideration. Although there is a large variability of meniscus shapes in cross-section, we hypothesise that by taking the meniscal slope into account during surgical planning, as well as performing the correct adjustments of this particular parameter, we can diminish the risk of a meniscal allograft extrusion.

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Category:
Articles
Type:
artykuł w czasopiśmie wyróżnionym w JCR
Published in:
MEDICAL HYPOTHESES pages 48 - 51,
ISSN: 0306-9877
Language:
English
Publication year:
2017
Bibliographic description:
Łuczkiewicz P., Daszkiewicz K., Chróścielewski J., Witkowski W., Kuik L.: High meniscal slope angle as a risk factor for meniscal allograft extrusion// MEDICAL HYPOTHESES. -, nr. 101 (2017), s.48-51
DOI:
Digital Object Identifier (open in new tab) 10.1016/j.mehy.2017.02.003
Verified by:
Gdańsk University of Technology

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