Clin Orthop Surg.  2016 Dec;8(4):481-483. 10.4055/cios.2016.8.4.481.

Intraoperative Templating in Lateral Meniscal Allograft Transplantation

• Yang BS
• Choi NH
• Kim BY

• KMID: 2412333
• DOI: http://doi.org/10.4055/cios.2016.8.4.481

Abstract

Recently, studies have emphasized the importance of anatomical placement of the lateral meniscal allograft to decrease postoperative extrusion. However, it is infeasible to identify the exact rotation of the allograft during transplantation. We present a patient who underwent a lateral meniscal transplantation using a wire for correct positioning of the allograft. The use of a wire intraoperatively shaped to resemble the contour of the lateral meniscal allograft will aid in more accurate and anatomical graft placement.

Keyword

Lateral meniscus; Meniscal allograft transplantation; Intraoperative template

MeSH Terms

Adolescent
Female
Humans
Intraoperative Period
Knee/surgery
Menisci, Tibial/*surgery
Transplantation, Homologous/*methods

Figure

• 

  Fig. 1 A 1-mm wire is bent along the medial border of the bony bridge and the periphery of the allograft. An absorbable suture is placed on the posterior horn and two nonabsorbable sutures are placed on the bony bridge of the allograft.

• 

  Fig. 2 (A) The straight part of the wire is placed along the lateral tibial spine. (B) The straight part of the wire is moved more medially and rotated internally.

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  Fig. 3 The midbody of the lateral meniscal allograft showed no extrusion on coronal magnetic resonance imaging and the previous osteochondritis dissecans lesion was covered satisfactorily with the autogenous osteochondral graft.

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