Kwang Mee Kim; Churl Hong Chun; Ki Joon Jeong

doi:10.5763/kjsm.2011.29.1.15

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Kim, Chun, and Jeong: Meniscal Allograft Transplantation – Clinical Results and Recovery of Sports Activity–

Clinical Article

Korean J Sports Med 2011;29(1):15-20.

Published online: 20 January 2011

DOI: https://doi.org/10.5763/kjsm.2011.29.1.15

Meniscal Allograft Transplantation – Clinical Results and Recovery of Sports Activity–

Kwang Mee Kim, PhD¹, Churl Hong Chun, MD^2,³, Ki Joon Jeong, MD^2,³

¹Department of Nursing, Chodang University, Muan, Korea

²Department of Orthopedic Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Iksan, Korea

³Wonkwang Institude of Medical Science, Iksan, Korea

Received 9 September 2010 Revised 25 October 2010 Accepted 1 December 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The purpose of this study was to evaluate the clinical results and recovery of sports activity in patients who received meniscal allograft transplantation. From December 1999 to May 2009, we selected 36 cases out of 38 cases who received meniscal transplantation using fresh frozen allograft. The mean age was 33.8 years (range: 17–50 years) and the mean follow up was 68.8 months (range: 12–142 months). Clinical results were evaluated with knee assess-ment scoring system (KASS), Lysholm knee score and International knee Documentation Committee. The information of quadriceps and hamstrings strength recovery was obtained using Tegner activity scale, Tegner activity score and Biodex system II (Biodex, USA), and it was used to evaluate the recovery of sports activity. The average KASS score was increased from 61.7 preoperatively to 83.8 postoperatively. The average Lysholm score was increased from 77.7 preoperatively to 87.7 postoperatively. Also, Tegner activity scale, Tegner activity score and the recovery of quadriceps and hamstrings increased at 1year after surgery. In knee joint position sense, the proprioception increased compared to preoperational count. We propose the meniscal allograft transplantation is one of a proper treatment after subtotal or total meniscectomy, which can significantly relieve pain and improve function of the knee joint.

Keywords: Knee joint, Meniscus, Allograft meniscal transplantation

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Fig. 1.

Arthroscopic findings shows. (A) Total menisectomy state. (B) Postoperative finding of meniscal transplantation.(C) MRI at 21 months after meniscal transplantation shows no evidence of meniscal tear or extrusion.

Table 1.

Clinical results according to KASS, Lysholm knee score and Tegner activity score (p＜0.05)

	Preoperative	Postoperative (last F/U)
KASS score	61.7 (34–80)	83.8 (61–95)
Lysholm knee score	77.7 (48–79)	87.7 (63–97)
Tegner activity score	3.1 (2–5)	6.7 (4–8)

KASS: knee assessment scoring system, F/U: follow-up.

Table 2.

Clinical results according to IKDC

	Preoperative	Postoperative (last F/U)
Group A	0	13
Group B	0	19
Group C	22	4
Group D	14	0

IKDC: International Knee Documentation Committee, F/U: follow-up.

Table 3.

Tegner activity scale

Activity scale	Recreational sports	No. of patient
VI	Tennis and badminton	7
V	Jogging	17
IV	Cycling	9
III	Swimming	3
0-II	Walking only	0

No.: number.

Table 4.

Deficit percent of peak torque and total work: quadriceps and hamstrings (p＜0.05)

Group	Angular velocity (^o/s)	Preoperative		Postop (1 y)
Group	Angular velocity (^o/s)	PT (%)	TW (%)	PT (%)	TW (%)
Quadriceps	90	48.2	56.4	18.1	17.4
	180	38.6	42.8	12.2	13.8
Hamstrings	90	37.6	47.8	13.2	16.2
	180	32.4	38.8	10.8	14.2

PT: peak torque, TW: total work.

Table 5.

Assessment of knee joint position sense using by Biodex system II (Biodex) (p=0.062)

	Preoperative (°)	Postoperative (1 y) (°)
Active 30° flexion	27.20	30.04
Active 70° flexion	65.57	68.90
Passive 30° flexion	27.02	32.20
Passive 70° flexion	64.17	72.27

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