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PRELIMINARY PROGRAM WATCH Get Ahead of Your Colleagues Where The O S E T World Comes Together To Learn! PRELIMINARY PROGRAM WATCH Get Ahead Of Your Colleagues #orthosummit2019 ISAKOS Approved-Course orthosummit.com #OrthoSummit2019 [email protected] VIDEO BELLAGIO HOTEL | LAS VEGAS, NV | DECEMBER 11-14, 2019 1 3 6 2 12 Bhargava Anterior Hip Labral Grasper 4 Designed by Tarun Bhargava, MD 3 2 Designed to help remove the labram 11 and soft tissues in total hip surgery PRODUCT NO: 9 10 1776 Unger Anterior Total Hip Instruments Designed by Anthony Unger, MD Universal instrument system specifically designed for Direct Anterior approach THR 9 Femoral Neck Elevator 1 Wide Hohmann—Single Prong 10 Soft Tissue Protector Hannum Modified Angled Grasper Designed by Scott Hannum, MD 2 Wide Hohmann—Double Prong Heavy duty large bone grasper designed to help trim acetabular osteophytes — angled to ergonomically fit 13 Femoral Neck Elevator–Long Prong around the rim via the direct anterior approach PRODUCT NO: 1775-04 3 Narrow Hohmann Huddleston Femoral Head Removers Designed to help lever a femoral head out of the acetabulum in standard and anterior approach total hip replacement 4 Narrow Cobra Sharp 11 12 Offset Narrow Hohmann—Right & Left Designed by H. Dennis Huddleston, MD PRODUCT NO’S: PRODUCT NO'S: 1 3001 [Unger Wide Hohmann–Single Prong] 3608 [Sharp] Dull 5 Canal Finder Rasp—Straight 2 3008 [Unger Wide Hohmann–Double Prong] 3609 [Dull] 3 3002 [Unger Narrow Hohmann] 4 3003 [Unger Blunt Narrow Cobra] 5 3004 [Unger Canal Finder Rasp–Straight] 6 Canal Finder Rasp—Curved 6 3004-01 [Unger Canal Finder Rasp–Curved] Alvi Modified 6s 3004-02 [Unger Canal Finder Rasp– Curved with Smooth Proximal] Hohmann Retractor 7 3005-R [Unger Box Osteotome–Right] Designed by Hasham Alvi, MD Canal Finder Rasp—Curved 8 3005-L [Unger Box Osteotome–Left] 6s with Smooth Proximal PRODUCT NO: 9 3006 [Unger Femoral Neck Elevator] 4549 10 3007 [Unger Soft Tissue Protector] 11 3009-R [Unger Offset Narrow Hohmann–Right] 12 3009-L [Unger Offset Narrow Hohmann–Left] 7 8 Box Osteotome Optional Instruments: Designed for use during 13 3006-01 [Femoral Neck Elevator–Long Prong] minimally invasive anterior hip replacement surgery, the retractor is used to help with retraction of the rectus femoris Scan to Launch Our ISO 13485:2016 Website FREE TRIAL ON MOST INSTRUMENTS 103 Estus Drive, Savannah, GA 31404 912.236.0000 Phone Innomed-Europe Tel. +41 41 740 67 74 © 2019 Innomed, Inc. www.innomed.net [email protected] 912.236.7766 Fax Fax +41 41 740 67 71 1.800.548.2362 Ortho Summit Program.indd 1 5/10/19 10:16 AM Conference Chair BRIAN D. BUSCONI, MD Chief of Sports Medicine and Arthroscopy University of Massachusetts Memorial Hospital Worcester, Massachusetts Founder KEVIN D. PLANCHER, MD, MPH Clinical Professor of Orthopaedic Surgery Albert Einstein College of Medicine Dear Colleague, Fellowship Director Plancher Orthopaedics & Sports Medicine We would like to invite you to participate in the Orthopaedic New York, New York Summit 2019: Evolving Techniques this December 11-14, 2019 at the Bellagio Hotel in Las Vegas, Nevada. Honored Professors TODD J. ALBERT, MD Orthopaedic Summit 2019 continues to be to the premier gathering of Surgeon-in-Chief Chief Medical Officer and Korein-Wilson Total Joint Arthroplasty (Hip, Knee), Sports Medicine, Arthroscopic Professor of Orthopedic Surgery Hospital for Special Surgery Surgeons and Advanced Practitioners (PA, NP, PT, ATC, OT) from across Chairman, Department of Orthopedic Surgery the globe in Knee, Shoulder, Hip, Foot/Ankle, Spine, Trauma, Hand, Professor of Orthopedic Surgery Weill Cornell Medical College Wrist & Elbow. Our 5th Annual Fellow & Resident Summit continues New York, New York as a highlighted feature this year, now expanded to include Friday STEPHEN S. BURKHART, MD afternoon hands-on workshops and a speed mentoring session. Clinical Associate Professor Department of Orthopaedic Surgery University of Texas Health Science Center This 3½ day event will include cutting-edge lectures, rapid-fire debates, at San Antonio lunch time and dinner symposia, cadaver lab sessions, an international Stoneterra Medical Plaza San Antonio, Texas perspective on the latest techniques in arthroplasty, arthroscopy, and NEAL S. ELATTRACHE, MD rehabilitation of the knee, shoulder, foot and ankle, hip, spine, hand, Member, Cedars-Sinai Kerlan-Jobe Institute wrist & elbow. Board of Directors Co-Chair of Medical Affairs, Cedars-Sinai Kerlan-Jobe Institute Chairman, Kerlan-Jobe Orthopaedic Foundation Highlights of Orthopaedic Summit 2019 Director, Kerlan-Jobe Sports Medicine Fellowship All Included With Registration! Never an Extra FEE! Head Team Physician, Los Angeles Dodgers Head Team Physician, Los Angeles Rams 20 Industry-Sponsored 4 Live Surgeries! Cedars-Sinai Kerlan-Jobe Institute Spotlight Sessions! Los Angeles, California Chair Reception 5th Annual Fellow & Thursday, December 12 THOMAS K. FEHRING, MD Heavy Hors D’oeuvres & Libations Co-Director, OrthoCarolina Hip & Knee Center Resident Summit! Co-Director, OrthoCarolina Charitable Foundation Medical Director, Novant Orthopedic Hospital Knee Arthroplasty & Wednesday-Saturday Meals OrthoCarolina Hip & Knee Center Advanced Fracture Workshops 4 Breakfasts, 4 Lunches, 3 Dinners Charlotte, North Carolina The AAOS CME-accredited is a non-profit, ARLEN HANSSEN, MD Orthopaedic Summit Emeritus Professor 501(c)(3) meeting which allows attendees to build relationships with Department of Orthopedic Surgery Mayo Clinic internationally renowned arthroplasty, sports medicine, and arthroscopic Rochester, Minnesota surgeons, fellows, residents, physician assistants, nurse practitioners, DAVID L. HELFET, MD physical therapists, and athletic trainers while learning the latest Professor of Orthopaedic Surgery Weill Cornell Medicine innovative techniques to help your patients. Chief Emeritus, Orthopaedic Trauma Service NewYork Presbyterian Hospital The Bellagio Hotel is a destination unto itself, along with Las Vegas’ Hospital for Special Surgery New York, New York famous nightlife, gambling, restaurants, and unique entertainment options. JOSEPH P. IANNOTTI, MD, PhD We look forward to welcoming you in Las Vegas! Chief of Staff Chief Academic and Innovations Officer Cleveland Clinic Florida Brian D. Busconi, MD Stephanie C. Petterson, MPT, PhD Professor of Surgery Lerner College of Medicine Conference Chair Chief Educational Officer Weston, Florida L. ANDREW KOMAN, MD Professor and Chair Department of Orthopaedic Surgery Should Attend? Wake Forest University School of Medicine Who Wake Forest Baptist Health All healthcare practitioners specializing in arthroplasty, Winston Salem, North Carolina arthroscopy and orthopaedic sports medicine including: RICHARD F. KYLE, MD Professor of Orthopaedic Surgery University of Minnesota • Orthopaedic Surgeons • Nurse Practitioners Past President, American Academy of Orthopaedic Surgeons • Fellows • Occupational Therapists Founding Member and Past President, Orthopaedic Trauma Association • Residents • Physician Assistants Minneapolis, Minnesota • Athletic Trainers • Physical Therapists MARC J. PHILIPPON, MD • Non-Operative Sports Medicine Physicians Managing Partner, Sports Medicine, Hip Disorders, Hip Arthroscopy The Steadman Clinic Co-Chairman and Co-Director of Sports Medicine Fellowship EARN CME/CEU HOURS!* Steadman Philippon Research Institute 3 30+ *Pending AAOS Approval Vail, Colorado Honored Professors (continued) MICHAEL SUK, MD Shoulder Sports & Arthroplasty Co-Chairs Chief Physician Officer HOLLIS G. POTTER, MD Geisinger System Services JOSEPH A. ABBOUD, MD Chairman Chair, Musculoskeletal Institute & Department of Professor of Shoulder & Elbow Department of Radiology and Imaging Orthopaedic Surgery Director of Research, Shoulder & Elbow Division Hospital For Special Surgery Geisinger Health System The Sidney Kimmel Medical College at Thomas New York, New York Danville, Pennsylvania Jefferson University Director of Clinical Operations JOHN C. RICHMOND, MD The Rothman Institute Medical Director, Network Development ALFRED J. TRIA, MD Philadelphia, Pennsylvania New England Baptist Hospital Clinical Professor of Orthopedic Surgery Boston, Massachusetts UMDNJ – Robert Wood Johnson Medical School The Orthopaedic Center of New Jersey LARRY D. FIELD, MD Piscataway, New Jersey Director, Sports Medicine & Arthroscopy BRUCE J. SANGEORZAN, MD Fellowship Mississippi Sports Medicine Professor of Orthopedics and Sports Medicine J. TRACY WATSON, MD Director, VA Center Of Excellence in Limb Loss & Orthopaedic Center Professor Jackson, Mississippi Prevention and Prosthetic Engineering Department of Orthopaedic Surgery Harborview Medical Center University of Arizona College of Medicine - University of Washington Phoenix LAWRENCE V. GULOTTA, MD Director CLiMB, VA Center for Limb Loss and Mobility The CORE Institute Associate Professor of Orthopedic Surgery Deputy Editor Journal of Bone and Joint Surgery Phoenix, Arizona Weill Cornell Medical College Past President of American Orthopedic Foot and Assistant Attending Orthopaedic Surgeon Ankle Society International Honored Professor Hospital for Special Surgery Seattle, Washington JAE CHUL YOO, MD New York, New York FELIX H. SAVOIE, III, MD Professor, Shoulder & Sports Medicine Department of Orthopedic Surgery CLAUDE T. MOORMAN, III, MD Professor of Clinical Orthopaedics President, Atrium Health’s Musculoskeletal Institute Chairman, Department of Orthopaedic Surgery Sungkyunkwan University Seoul, Korea The Edward N. Hanley, Jr. Endowed Chair Tulane University School of Medicine
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  • Meniscus Tear
    291 North Fireweed Soldotna, AK 99669 907-262-6454 www.kenaipeninsulaortho.com ______________________________________________________________________________________ Orthopaedic Surgeon: Hand and Wrist Specialist: Henry G. Krull, M.D. Edwin D. Vyhmeister, M.D. Meniscus Tear The meniscus is the rubbery, soft cartilage cushion in the knee. There are two of the C-shaped cushions in each knee, a medial (inner) and lateral (outer) meniscus. They sit between the two bones that form the knee joint, and function to cushion and support the knee. The meniscus can tear with injury or degeneration, or a combination of both. The medial meniscus is torn about 10X more frequently than the lateral meniscus. In young people, the meniscus usually tears with an injury. In older people, the cartilage can degenerate (weaken) with age, and can tear with or without an injury; spontaneous tears can occur. Meniscal tears can occur in association with other injuries to the knee. Symptoms: Pain is the usual symptom of complaint with a meniscus tear. There is often a noticeable “pop.” Swelling and stiffness can also occur. Mechanical symptoms are common—clicking, popping, and locking. Sometimes there is just a feeling that something is wrong inside the knee. Pain can be sharp, or can be dull and aching. Meniscus tears do not heal, but sometimes the symptoms dissipate. Chronic, intermittent symptoms is very common. Meniscal tears can cause a feeling of instability, or can cause the knee to buckle or give way. Cause: Injuries, particularly with sports, are a common cause of meniscal tears in young people. As people age, the meniscus tissue weakens through the normal degenerative process, and tears can occur spontaneously, or with simple activities, such as getting up from a chair, and changing direction while walking.
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    www.pinehurstsurgical.com Meniscus Problems - Meniscus Transplant A healthy meniscus acts as a shock absorber and provides a smooth surface for your knee to glide on. Behind the knee cap (patella), each knee has two menisci located between the thigh bone (femur) and shin bone (tibia), which protect articular cartilage from wear and tear. The somewhat C-shaped medial meniscus is on the inside of your knee, whereas the more U-shaped lateral meniscus is on the outside of your knee. This content is for informational purposes only. It is not intended to represent actual surgical technique or results. The information is not intended to be a substitute for professional medical advice, diagnosis, treatment or care. Always seek the advice of a medical professional when you have a medical condition. Do not disregard professional medical advice or delay in seeking advice if you have read something in this printout. Copyright © 2013, Understand.com, LLC, All Rights Reserved. Pinehurst Surgical Clinic www.pinehurstsurgical.com Meniscus Transplant Introduction A healthy meniscus acts as a shock absorber and provides a smooth surface for your knee to glide on. Behind the knee cap (patella), each knee has two menisci located between the thigh bone (femur) and shin bone (tibia), which protect articular cartilage from wear and tear. The somewhat C-shaped medial meniscus is on the inside of your knee, whereas the more U-shaped lateral meniscus is on the outside of your knee. Doctor's Personal Note: A Message From Your Doctor Thank you for visiting our website and viewing our 3D Animation Library.
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  • Meniscus Transplant: Is Still a Step Forward for Good Results in Cartilage Lesion Progression and Knee Pain?
    GENERAL ARTICLES Ref: Ro Med J. 2021;68(1) DOI: 10.37897/RMJ.2021.1.10 MENISCUS TRANSPLANT: IS STILL A STEP FORWARD FOR GOOD RESULTS IN CARTILAGE LESION PROGRESSION AND KNEE PAIN? Dan G. Cojocaru1, Gheorghe Bogdan Hogea1,2, Sorin Florescu1,2, Jenel Marian Patrascu Jr.1,2, Dragomir Halmagy1, Raymond Stoica1, Bogdan Anglitoiu1,2, Jenel Marian Patrascu1,2 1 Emergency County Hospital, Timisoara, Romania 2 “Victor Babes” University of Medicine and Pharmacy, Timisoara, Romania ABSTRACT Meniscus injuries are the most common traumatic conditions of the knee. If until the early 2000s, menisci were considered structures of no major importance in the knee joint, subsequent studies have shown their importance in the biomechanics of the knee. Their role is not only for the natural suspension of the joint, but also for the protection of the cartilage or the achievement of the efficient and uniform circulation of the syn- ovial fluid. Therefore, disruption of this joint balance can lead, in the absence of a well-conducted treatment, to premature knee wear. Most of the time, these meniscal tears are accompanied by associated lessions, ligaments or more severe- ly cartilaginous lessions, creating a real challenge for the physician, specially for young pacients. There are many conservative treatments of the damaged meniscus, imagined precisely in the idea of pre- serving the menisci as much as possible. However, this is not always possible, especially due to the type of traumatic injury. Keywords: cartilage lession, meniscal tear, meniscectomy, meniscal transplant BACKGROUND curs through the following mechanisms: increased pressure forces in the affected area, decreasing the With more than 700,000 arthroscopic menis- vitality of the articular cartilage by diminishing its cectomy per year only in USA alone (1), this kind feeding capacity, both by the inefficiency of the of surgery it s become one of the most performed synovial fluid circulation inside the joint and by worldwide, not only in the ultra-specialized decreasing its quality.
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  • Biomechanical Evaluation of a High Tibial Osteotomy with a Meniscal Transplant
    ORIGINAL ARTICLE Biomechanical Evaluation of a High Tibial Osteotomy with a Meniscal Transplant Geoffrey S. Van Thiel, M.D., M.B.A.,1 Rachel M. Frank, B.S.,1 Aman Gupta, M.S.,3 Neil Ghodadra, M.D.,1 Elizabeth F. Shewman, M.S.,3 Vincent M. Wang, Ph.D.,2 Bernard R. Bach, M.D.,1 Nihkil N. Verma, M.D.,4 Brian J. Cole, M.D., M.B.A.,1 and Matthew T. Provencher, M.D., MC, USN1 ABSTRACT This study determines the biomechanical advantage and the optimal configuration of a high tibial osteotomy (HTO) and meniscus transplantation performed concurrently. Six cadaver knees were placed in a spatial frame, and an HTO was completed. Loading points between a mechanical 6 degrees of varus and 8 degrees of valgus were loaded to 800 N for medial meniscal intact, meniscectomized, and transplanted states. Posterior slope was also increased by 3 degrees in these specimens. Contact data was recorded. Peak pressures significantly increased in the meniscectomized state in every degree of varus/valgus (p < 0.05). For both peak and total medial compartment pressures, there was a significant drop (p < 0.001) between neutral and 3 degrees of valgus. Lateral compartment pressures linearly increased from varus to valgus orientation. There was no significant change in the pressure profile of the knee with a 3-degree increase in posterior slope. This biomechanical study confirms the hypothesis that an HTO improves the peak pressures in the medial compartment at all degrees of varus/valgus alignment in the setting of meniscal trans- plantation. Furthermore, the largest decrease in medial pressures was between neutral and 3 degrees of valgus, suggesting that perhaps neutral aligned knees could benefit from an HTO.
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  • Arthroscopic Meniscal Transplantation Technique
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  • Meniscus Repair and Transplantation: a Comprehensive Update
    [ clinical commentary ] FRANK R. NOYES, MD1 • TIMOTHY P. HECKMANN, PT, ATC2 • SUE D. BARBER-WESTIN, BS3 Meniscus Repair and Transplantation: A Comprehensive Update he menisci provide several vital mechanical functions in the ies focused on repair of simple longitudi- knee joint. They act as a spacer between the femoral condyle nal tears located in the periphery or outer and tibial plateau and, when there are no compressive weight- one-third region of the meniscus, many studies have now been published on the bearing loads across the joint, limit contact between the T outcome of repair of complex multiplanar articular surfaces. The menisci provide shock absorption to the knee tears that extend into the central third joint during walking and are believed to assist in overall lubrication avascular region, and have reported en- of the articular surfaces.36,75 Following meniscectomy, the tibiofemoral couraging success rates.40 Unfortunately, not all meniscus tears contact area decreases by approximately Preservation of meniscal tissue and can be repaired, especially if considerable 50%, while the contact forces increase function is paramount for long-term joint tissue damage has occurred. In appropri- 2-fold to 3-fold.2,32,74 Meniscectomy fre- function, especially in younger patients ate patients, meniscus transplantation quently leads to irreparable joint damage, who are athletically active. Since early offers the potential to restore partial including articular cartilage degenera- reports of meniscus repair in the 1980s, load-bearing meniscus
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  • Meniscus Transplantation in an Active Population with Moderate to Severe Cartilage Damage
    Knee Surg Sports Traumatol Arthrosc DOI 10.1007/s00167-014-3246-4 KNEE Meniscus transplantation in an active population with moderate to severe cartilage damage Kevin R. Stone · Jonathan R. Pelsis · Scott T. Surrette · Ann W. Walgenbach · Thomas J. Turek Received: 3 September 2013 / Accepted: 14 August 2014 © European Society of Sports Traumatology, Knee Surgery, Arthroscopy (ESSKA) 2014 Abstract Conclusions Meniscus transplantation is a viable surgical Purpose The purpose of this study was to evaluate the option for patients with severe cartilage damage and miss- efficacy of meniscus allograft transplantation in an active ing or irreparable menisci to provide significant improve- patient population with moderate to severe cartilage dam- ments in pain and function levels in the medium to long age and the procedure’s ability to allow sports participation term with the majority of patients achieving their goal of postoperatively. participation in sporting activities. These results indi- Methods Forty-nine patients with moderate to severe car- cate that symptomatic patients may be able to participate tilage damage who underwent meniscus allograft transplan- in sports activities for an average of 12.6 years following tation were included in this study; those with symptoms meniscus transplantation. related to articular cartilage damage also underwent articu- Level of evidence Case series, Level IV. lar cartilage repair. Kaplan–Meier (KM) survival estimate, potential hazards to survival, and subjective clinical out- Keywords Meniscus allograft transplantation · comes were analyzed. For KM survival, failure was defined Osteoarthritis · Cartilage repair · Sports as progression to knee arthroplasty, surgical removal of the meniscus transplant without revision, a self-reported fol- low-up pain level that was more than preoperative level, or Introduction constant moderate pain with no relief from non-operative treatment.
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  • Annual Meeting 2017 Succeed Metro Toronto Convention Centre • Toronto, ON, Canada July 20 – 23, 2017
    FINAL PROGRAM LEARN AOSSM IMPLEMENT Annual Meeting 2017 SUCCEED Metro Toronto Convention Centre • Toronto, ON, Canada July 20 – 23, 2017 THE PREMIER ORTHOPAEDIC SPORTS MEDICINE EDUCATIONAL AND NETWORKING EVENT OF THE YEAR AOSSM gratefully acknowledges Stryker for an educational grant in support of the Final Program. AOSSM CORPORATE PaRTNERS AOSSM gratefully acknowledges the following companies for their generous 2016-2017 support of our mission. PLATINUM ELITE $100,000 + SILVER $35,000 – $69,999 BRONZE UP TO $34,999 Breg CEP – Topical Gear DePuy Synthes Mitek Sports Medicine Ferring Pharmaceuticals Flexion Therapeutics Kinamed Inc. Copyright American © 2017 Orthopaedic Society for Sports Medicine. All rights reserved. 2017 PROGRAM 2016-2017 LEARN COMMITTEE BOARD OF DIRECTORS IMPLEMENT Brian R. Wolf MD, MS – Chair President David R. Diduch MD Annunziato Amendola MD AOSSM SUCCEED Augustus D. Mazzocca MD, MS President-Elect Annual Meeting 2017 Matthew T. Provencher MD Charles A. Bush-Joseph MD Metro Toronto Convention Centre • Toronto, Canada July 20 – 23, 2017 Kurt P. Spindler MD Vice President Nikhil N. Verma MD Neal S. ElAttrache MD Secretary Rick D. Wilkerson DO 2017 ABSTRACT REVIEWERS Treasurer Asheesh Bedi MD Andrew J. Cosgarea MD Stephen F. Brockmeier MD Past President TABLE OF CONTENTS Brian D. Busconi MD Allen F. Anderson MD Frank A. Cordasco MD, MS Past President Program at a Glance .................................................................2 – 3 Jonathan F. Dickens MD Robert A. Arciero MD Conference Agenda ................................................................ 4 – 20 Robert F. LaPrade MD Member-at-Large Lance E. LeClere MD, LCDR, Jeffrey R. Dugas MD Presidential Guest Speaker ........................................................... 16 MC, USN Member-at-Large Instructional Courses ........................................................... 22 – 34 Chunbong Benjamin Ma MD Joseph H.
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  • The Effects of Meniscal Sizing on the Knee Using
    THE EFFECTS OF MENISCAL SIZING ON THE KNEE USING FINITE ELEMENT METHODS A dissertation presented to The faculty of the Fritz J. and Dolores H. Russ College of Engineering and Technology of Ohio University In partial fulfillment of the requirements for the degree Doctor of Philosophy Stephen D. Fening March 2005 © 2005 Stephen D. Fening All Rights Reserved This dissertation entitled THE EFFECTS OF MENISCAL SIZING ON THE KNEE USING FINITE ELEMENT METHODS by STEPHEN D. FENING has been approved for the School of Mechanical Engineering and the Russ College of Engineering and Technology by Bhavin Mehta Associate Professor of Mechanical Engineering Dennis Irwin Dean, Fritz J. and Dolores H. Russ College of Engineering and Technology FENING, STEPHEN D. Ph.D. March 2005. Individual Interdisciplinary Ph.D. – Biomedical Engineering The Effects of Meniscal Sizing on the Knee Using Finite Element Methods (125pp.) Director of Dissertation: Bhavin Mehta The knee, one of the most complex joints in the body, is also one of the most commonly injured joints in humans. Most injuries that occur in the knee either cause meniscal damage or are the function of a previously damaged meniscus, a complex tissue that has been historically underappreciated. Many techniques for the replacement of a damaged meniscus have been surgically explored. The most successful approach thus far has been meniscus allograft, the transplantation of a meniscus from a cadaver to a patient. This procedure has been performed over the last 25 years with inconsistent results. Meniscal sizing appears to be a major source of this inconsistency. The purpose of this dissertation is to study the effects of meniscal sizing on stresses in the knee joint using finite element methods.
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  • Meniscus Transplant
    www.ashevilleortho.com Meniscus Problems - Meniscus Transplant A healthy meniscus acts as a shock absorber and provides a smooth surface for your knee to glide on. Behind the knee cap (patella), each knee has two menisci located between the thigh bone (femur) and shin bone (tibia), which protect articular cartilage from wear and tear. The somewhat C-shaped medial meniscus is on the inside of your knee, whereas the more U-shaped lateral meniscus is on the outside of your knee. This content is for informational purposes only. It is not intended to represent actual surgical technique or results. The information is not intended to be a substitute for professional medical advice, diagnosis, treatment or care. Always seek the advice of a medical professional when you have a medical condition. Do not disregard professional medical advice or delay in seeking advice if you have read something in this printout. Copyright © 2013, Understand.com, LLC, All Rights Reserved. Asheville Orthopaedic Associates • (828) 252-7331 www.ashevilleortho.com Meniscus Transplant Introduction A healthy meniscus acts as a shock absorber and provides a smooth surface for your knee to glide on. Behind the knee cap (patella), each knee has two menisci located between the thigh bone (femur) and shin bone (tibia), which protect articular cartilage from wear and tear. The somewhat C-shaped medial meniscus is on the inside of your knee, whereas the more U-shaped lateral meniscus is on the outside of your knee. When the Procedure is Performed Meniscus injuries, such as tears, are common and typically don’t heal well.
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  • Five Key Points on Meniscal Allograft Transplantation
    Haunschild ED, Gilat R, Fu MC, Cole BJ. Five Key Points on Meniscal Allograft Transplantation. J Orthopedics & Orthopedic Surg. 2020;1(1):1-5 Review Article Open Access Five Key Points on Meniscal Allograft Transplantation Eric D Haunschild, Ron Gilat, Michael C Fu, Brian J Cole* Midwest Orthopaedics at Rush, Chicago IL, USA Article Info Abstract Article Notes Meniscus injuries are a common presentation to orthopedic clinics, Received: September 23, 2019 with hundreds of thousands of meniscectomies and meniscus repairs being Accepted: January 02, 2020 performed every year1. As the consequence of osteoarthritis progression has *Correspondence: been found to be associated with functional meniscal deficiency, a significant *Prof. Brian J Cole, Department of Orthopedic Surgery, Rush increase in repair surgeries have occurred in recent years2. However, in University Medical Center, Chicago IL, USA; symptomatic patients with irreparable tears, partial meniscectomy remains Telephone No: 312-432-2817; Email: [email protected]. the standard of care. Meniscectomy is not harmless and can result in increased contact stress, predisposing the patient to early-onset osteoarthritis1. ©2020 Cole BJ. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License. In a select group of patients with persistent unicompartmental pain and symptomatic meniscus deficiency, meniscal allograft transplantation (MAT) has emerged as an acceptable surgical procedure aiming to restore function and improve pain. In many patients, MAT can result in long-term improvement, with a recent systematic review demonstrating favorable graft survival and functional outcomes at a minimum ten years after surgery3. These favorable outcomes demonstrate lasting symptomatic improvement and, though unproven at this time, may decrease the progression of osteoarthritis in the knee.
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  • Clinical Results of Combined Meniscus and Femoral Osteochondral Allograft Transplantation: Minimum 2-Year Follow-Up Geoffrey D
    Clinical Results of Combined Meniscus and Femoral Osteochondral Allograft Transplantation: Minimum 2-Year Follow-up Geoffrey D. Abrams, M.D., Kristen E. Hussey, B.S., Joshua D. Harris, M.D., and Brian J. Cole, M.D., M.B.A. Purpose: To determine clinical results after combined femoral osteochondral allograft and meniscus transplantation. Methods: Thirty-two patients with a minimum 2-year follow-up were identified who had previously undergone com- bined meniscus allograft transplantation and fresh osteochondral allograft transplantation. Demographic and intra- operative data, including condylar defect size, as well as the preoperative and postoperative International Knee Documentation Committee (IKDC) score, Short Form 12 score, Knee Injury and Osteoarthritis Outcome Score (KOOS), and Lysholm score, were recorded. Paired tests and regression analysis were used, and an a value of .05 was set as sig- nificant with Bonferroni correction used in the case of multiple comparisons. Results: The mean follow-up period was 4.2 years (range, 2 to 11 years). The mean condylar defect size was 4.7 Æ 2.0 cm2 at the time of the index procedure. Lysholm scores, IKDC scores, and all KOOS subdomains showed significant improvement from preoperatively to post- operatively (P < .001). Patients with condylar defects of less than 4 cm2 had a significantly greater increase in the pre- operative versus postoperative IKDC score (P ¼ .010), Lysholm score (P ¼ .018), and KOOS (P ¼ .016) than those with condylar defects greater than 4 cm2. Femoral condyle defect size was also significantly inversely correlated with the postoperative IKDC score (P ¼ .015), KOOS (P ¼ .003), and Lysholm score (P ¼ .010).
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