Meniscus transplantation-prospective assessment of clinical
results in two, five and ten year follow-up

J 2021

Meniscus transplantation-prospective assessment of clinical results in two, five and ten year follow-up

PAŠA, Libor, Ján KUŽMA, Radim HERŮFEK, Josef PROKEŠ, Jiří JARKOVSKÝ et. al.

Basic information

Original name

Meniscus transplantation-prospective assessment of clinical results in two, five and ten year follow-up

Authors

PAŠA, Libor (203 Czech Republic, guarantor, belonging to the institution), Ján KUŽMA (703 Slovakia, belonging to the institution), Radim HERŮFEK (203 Czech Republic, belonging to the institution), Josef PROKEŠ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution) and Vojtech HAVLAS (203 Czech Republic)

Edition

INTERNATIONAL ORTHOPAEDICS, NEW YORK, SPRINGER, 2021, 0341-2695

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30211 Orthopaedics

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.479

RIV identification code

RIV/00216224:14110/21:00120659

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1007/s00264-020-04638-2

UT WoS

000541410500002

Keywords in English

Meniscus; Transplantation; Functional outcome; 10 years follow-up; Arthroscopy

Abstract

V originále

Purpose The authors present clinical results in patients following transplantation of deep-frozen menisci within ten years following the surgery. Methods A cohort of 46 patients who were transplanted altogether 49 menisci was subject to prospective study following six months, two, five and ten years after meniscus transplantation. For subjective assessment, we used KOOS, IKDC and Lysholm scores; objective assessment was based on load X-ray examination of the operated knee at two, five and ten years after the surgery, MRI examination of 34 patients in the interval of two and ten years after the operation, control arthroscopy was performed in 23 patients eight of whom suffered a new injury. Results All 38 patients who have completed ten year follow-up without any new injury of the operated joint demonstrated statistically significant improvement of mobility in the period of six months and two, five and ten years following the meniscal transplantation. Further follow-up demonstrated different results in patients with a new injury and without a new injury of the operated knee joint. In eight patients (17.3%), the follow-up was disturbed by a new injury of the operated joint within three to eight years after the meniscal transplantation. In three patients with the damaged meniscal transplant, a cartilage deterioration from degree II to degree IIIa was found. In second-look arthroscopy, the patients with no injury showed signs of the improved condition of cartilage by one degree according to ICRS classification on average. The MRI imaging showed relatively frequent (47%) extrusion of the anterior and medial part of meniscus (2.5-3.8 mms) without the followed-up dynamics of changes at two and ten years after the surgery. Conclusion All patients in the selected cohort proved the positive benefit of meniscus transplant when it comes to the improvement of clinical symptoms and improvement of mobility of the operated knee joint. The higher mobility following the transplantation compared to the activity prior to the surgery could have contributed to a new injury of the operated joint in 17% of the patients in the cohort.

Citovat

PAŠA, Libor, Ján KUŽMA, Radim HERŮFEK, Josef PROKEŠ, Jiří JARKOVSKÝ and Vojtech HAVLAS. Meniscus transplantation-prospective assessment of clinical results in two, five and ten year follow-up. INTERNATIONAL ORTHOPAEDICS. NEW YORK: SPRINGER, 2021, vol. 45, No 4, p. 941-957. ISSN 0341-2695. Available from: https://dx.doi.org/10.1007/s00264-020-04638-2.

@article{1673166,
   author = {Paša, Libor and Kužma, Ján and Herůfek, Radim and Prokeš, Josef and Jarkovský, Jiří and Havlas, Vojtech},
   article_location = {NEW YORK},
   article_number = {4},
   doi = {http://dx.doi.org/10.1007/s00264-020-04638-2},
   keywords = {Meniscus; Transplantation; Functional outcome; 10 years follow-up; Arthroscopy},
   language = {eng},
   issn = {0341-2695},
   journal = {INTERNATIONAL ORTHOPAEDICS},
   title = {Meniscus transplantation-prospective assessment of clinical results in two, five and ten year follow-up},
   url = {https://link.springer.com/article/10.1007%2Fs00264-020-04638-2},
   volume = {45},
   year = {2021}
}

TY  - JOUR
ID  - 1673166
AU  - Paša, Libor - Kužma, Ján - Herůfek, Radim - Prokeš, Josef - Jarkovský, Jiří - Havlas, Vojtech
PY  - 2021
TI  - Meniscus transplantation-prospective assessment of clinical results in two, five and ten year follow-up
JF  - INTERNATIONAL ORTHOPAEDICS
VL  - 45
IS  - 4
SP  - 941-957
EP  - 941-957
PB  - SPRINGER
SN  - 03412695
KW  - Meniscus
KW  - Transplantation
KW  - Functional outcome
KW  - 10 years follow-up
KW  - Arthroscopy
UR  - https://link.springer.com/article/10.1007%2Fs00264-020-04638-2
L2  - https://link.springer.com/article/10.1007%2Fs00264-020-04638-2
N2  - Purpose The authors present clinical results in patients following transplantation of deep-frozen menisci within ten years following the surgery. Methods A cohort of 46 patients who were transplanted altogether 49 menisci was subject to prospective study following six months, two, five and ten years after meniscus transplantation. For subjective assessment, we used KOOS, IKDC and Lysholm scores; objective assessment was based on load X-ray examination of the operated knee at two, five and ten years after the surgery, MRI examination of 34 patients in the interval of two and ten years after the operation, control arthroscopy was performed in 23 patients eight of whom suffered a new injury. Results All 38 patients who have completed ten year follow-up without any new injury of the operated joint demonstrated statistically significant improvement of mobility in the period of six months and two, five and ten years following the meniscal transplantation. Further follow-up demonstrated different results in patients with a new injury and without a new injury of the operated knee joint. In eight patients (17.3%), the follow-up was disturbed by a new injury of the operated joint within three to eight years after the meniscal transplantation. In three patients with the damaged meniscal transplant, a cartilage deterioration from degree II to degree IIIa was found. In second-look arthroscopy, the patients with no injury showed signs of the improved condition of cartilage by one degree according to ICRS classification on average. The MRI imaging showed relatively frequent (47%) extrusion of the anterior and medial part of meniscus (2.5-3.8 mms) without the followed-up dynamics of changes at two and ten years after the surgery. Conclusion All patients in the selected cohort proved the positive benefit of meniscus transplant when it comes to the improvement of clinical symptoms and improvement of mobility of the operated knee joint. The higher mobility following the transplantation compared to the activity prior to the surgery could have contributed to a new injury of the operated joint in 17% of the patients in the cohort.
ER  -

PAŠA, Libor, Ján KUŽMA, Radim HERŮFEK, Josef PROKEŠ, Jiří JARKOVSKÝ and Vojtech HAVLAS. Meniscus transplantation-prospective assessment of clinical results in two, five and ten year follow-up. \textit{INTERNATIONAL ORTHOPAEDICS}. NEW YORK: SPRINGER, 2021, vol.~45, No~4, p.~941-957. ISSN~0341-2695. Available from: https://dx.doi.org/10.1007/s00264-020-04638-2.

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