Meniscal Allograft Transplants

Meniscus allograft transplantation is an established surgical treatment indicated in symptomatic meniscus-deficient patients with minimal to no arthritis. Treatment decision making should be individualized after a thorough history and physical examination, with diagnostic imaging and arthroscopy to assess the status of the meniscus. The senior author prefers to use a bridge-in-slot technique, where osseous fixation of the allograft is completed through passage of a bone bridge to a tibial slot. Outcomes in meniscus allograft transplantation are favorable, with reported significant improvements in clinical outcome and low failures in short- and midterm follow-up studies.