Revision Medial Meniscus Allograft Transplantation
Performed by Kevin R. Stone, MD · 2014 · San Francisco, CA
Quick Facts
- Procedure Type
- Revision Transplantation
- Indication
- Failed Primary Allograft
- Technique
- Modified Three-Tunnel
Summary
Revision meniscus allograft transplantation is performed when a primary meniscus transplant has failed due to re-tear, extrusion, or other complications. The procedure requires careful removal of the failed graft while preserving viable rim tissue.
Technical Considerations
The revision procedure follows similar principles to primary transplantation but with additional challenges: scarred tissue planes, altered bone tunnels, and potentially compromised articular cartilage. Meticulous technique is essential for successful outcomes.
Transcript
This video demonstrates revision medial meniscus allograft transplantation in a patient whose primary transplant failed due to progressive degeneration. The failed allograft tissue is carefully removed while preserving the peripheral rim and capsular attachments where possible.
New bone tunnels are created at slightly different angles to avoid the previous tunnel tracks. The revision allograft is sized appropriately and inserted using the three-tunnel technique, with particular attention to achieving secure fixation and proper tensioning.