Lateral Meniscus Allograft Transplantation With Lateral Meniscotibial Ligament Reconstruction.

Abstract

Meniscal allograft transplantation is one of the main treatments among meniscus-deficient patients. Our technique describes lateral meniscal allograft transplantation with the reconstruction of the meniscotibial ligament using arthroscopy. After arthroscopic evaluation of the joint, the tibial plateau is prepared by removing the meniscal remnant. The meniscotibial ligament is reconstructed by using an anchor with straps inserted perpendicular to the tibial plateau via an additional portal placed on the lateral side of the knee, and then the straps are passed through the previously prepared allograft body. The meniscus is passed through the arthroscopic portal and arranged in the anatomical position. Posterior and anterior horns are fixed using the bone bridge technique, and the meniscal body is fixed to the plateau by a reconstructed meniscotibial ligament. This is a highly repeatable technique that allows for stable attachment of the meniscus thanks to 3 attachment points.