Proper Cartilage Status for Meniscal Allograft Transplantation Cannot Be Accurately Determined by Patient Symptoms

The American Journal of Sports Medicine
Bum-Sik LeeGeun-Won Han

Abstract

Candidates for meniscal allograft transplantation (MAT) often already have a significant cartilage lesion when they present with a symptomatic knee. However, the level of symptoms required for MAT to be performed is poorly defined, leading to difficulties in selecting patients and the potential for further cartilage loss. To evaluate if various clinical evaluation scores reflect the articular cartilage status of the lateral compartment preoperatively in symptomatic, lateral meniscus-deficient knees. Cohort study; Level of evidence, 3. A total of 113 consecutive patients who underwent lateral MAT were reviewed. All patients were preoperatively assessed by the most common patient-reported outcome measures (PROMs), including the visual analog scale (VAS) for pain, Lysholm knee scale, International Knee Documentation Committee (IKDC) subjective form, and Tegner activity scale. The maximum grade from the International Cartilage Repair Society (ICRS) scale on either femoral or tibial articular cartilage was used for a correlation analysis between PROMs and ICRS grades and a comparison of PROMs between patients with low-grade (ICRS grade ≤2) and high-grade (ICRS grade 3 or 4) cartilage degeneration. More than half of the patients had ...Continue Reading

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Citations

Jan 12, 2017·The American Journal of Sports Medicine·Bum-Sik LeeJun Weon Choi
Sep 22, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jun-Gu ParkGi-Woon Yoon
Apr 8, 2020·The American Journal of Sports Medicine·Ju-Ho SongChang-Rack Lee

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