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Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002.

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Presentation on theme: "Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002."— Presentation transcript:

1 Allograft Meniscal Transplantation by Brian J. Cole, Thomas R. Carter, and Scott A. Rodeo J Bone Joint Surg Am Volume 84(7):1236-1250 July 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

2 The medial meniscus acts as a restraint to anterior tibial translation in the anterior cruciate ligament-deficient knee. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

3 A biopsy specimen from a deep-frozen human meniscal allograft, demonstrating incomplete cellular repopulation. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

4 Figs. 3-A and 3-B Radiographs of a thirty-two-year-old man with a history of medial meniscectomy of the right knee. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

5 A 45° flexion weight-bearing posteroanterior radiograph demonstrating complete loss of the joint space in the medial compartment. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

6 Meniscal sizing is performed by first correcting for magnification. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

7 Meniscal sizing is performed by first correcting for magnification. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

8 Figs. 5-A, 5-B, and 5-C Double-bone-plug technique. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

9 Insertion of graft, including reduction suture. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

10 Appearance upon completion. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

11 Figs. 6-A, 6-B, and 6-C Keyhole method (Illustrations courtesy of CryoLife, Kennesaw, Georgia. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

12 Graft prepared for insertion. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

13 Graft in place and sutured. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

14 Tibial trough method. Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

15 Arthroscopic views of the knee of an eighteen-year-old woman following a subtotal medial meniscectomy (Fig. 8-A), after treatment with a medial meniscal allograft (Fig. 8-B), and at six months following implantation as seen on second-look arthroscopy (Fig.... Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

16 Arthroscopic views of the knee of an eighteen-year-old woman following a subtotal medial meniscectomy (Fig. 8-A), after treatment with a medial meniscal allograft (Fig. 8-B), and at six months following implantation as seen on second-look arthroscopy (Fig.... Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

17 Arthroscopic views of the knee of an eighteen-year-old woman following a subtotal medial meniscectomy (Fig. 8-A), after treatment with a medial meniscal allograft (Fig. 8-B), and at six months following implantation as seen on second-look arthroscopy (Fig.... Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.

18 Magnetic resonance imaging scan of a meniscal allograft at six months postoperatively, demonstrating the graft to have a normal position and size with minimal signal change at the host-graft junction (Reprinted, with permission, from: Carter TR. Meniscal al... Brian J. Cole et al. J Bone Joint Surg Am 2002;84:1236- 1250 ©2002 by The Journal of Bone and Joint Surgery, Inc.


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