Has anyone of you guys and girls out there had any experience with meniscal implantation in the knee. This could be artificial "goo", solid state devices or donor tissue? And if so, where and which surgeon? Many thanks
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Has anyone of you guys and girls out there had any experience with meniscal implantation in the knee. This could be artificial "goo", solid state devices or donor tissue? And if so, where and which surgeon? Many thanks
I have found a bit of info but nothing really up-to-date
Also some cool movements in tissue regeneration for articular cartilage damage. Anyone with some results?Quote:
Meniscal Transplantation.
Techniques in Knee Surgery. 1(1):23-35, September 2002.
VERDONK, RENE M.D., PH.D.; ALMQVIST, FREDRIK M.D., PH.D.
Abstract:
Meniscal transplantation as a treatment of degenerative knee joint disease remains controversial. When confronted with a medial or lateral compartmental pain syndrome in a patient after total meniscectomy, the orthopedic surgeon faces manifest therapeutic challenges. Apparently, satisfactory results can be obtained consistently after proper correction of axial malalignment. However, in the well-aligned knee joint, it seems logical to reimplant the meniscus when it has been removed anteriorly and incapacitating pain has led to functional impairment. Experience gained from medium-term implantation results suggests that arthroscopically assisted lateral transplantation is the most effective procedure, whereas the open technique seems to be best suited for medial meniscal transplantation, with either dual or single skin incision allowing for medial collateral ligament release. The use of bone blocks for allograft fixation is still controversial because meniscal implantation should be anatomic to restore meniscal function. Accurate bone block fixation is difficult, but meniscal transplantation without bone blocks might induce erratic meniscal behavior.
(C) 2002 Lippincott Williams & Wilkins, Inc.
Quote:
Autologous Chondrocyte Implantation
Autologous Chondrocyte Implantation (ACI) is a technique that aims to repair damaged cartilage in a joint. The knee joint is most commonly treated with this technique. Cartilage Cells (chondrocytes) are taken from the knee and multiplied in culture to increase the number of cells. When there are enough cells available, these cells are implanted back into the knee to repair the area of cartilage damage.