Publications

State of the Art in Meniscus Allograft Transplantation

Summary

A comprehensive review of the current indications, surgical techniques, outcomes, rehabilitation protocols, and future directions of meniscus allograft transplantation.

Purpose

This review evaluates the current state of meniscus allograft transplantation and summarizes the evidence supporting patient selection, graft fixation methods, rehabilitation strategies, clinical outcomes, and emerging biologic augmentation techniques.

Key Takeaways

• MAT is an effective treatment option for symptomatic meniscal deficiency in appropriately selected patients.
• Mid-term graft survivorship remains favorable, with many studies reporting success rates between 75% and 90%.
• Bone plug and bone bridge fixation techniques may better restore native knee biomechanics and reduce graft extrusion.
• Proper patient selection, alignment correction, and ligament stability remain critical factors for success.
• Emerging biologic adjuncts such as BMAC and PRP may improve graft incorporation and healing, although further clinical evidence is needed.

Conclusion

Meniscus allograft transplantation has evolved into a reliable joint-preserving procedure that can improve pain, function, and quality of life in patients with meniscal deficiency. Continued advancements in graft preservation, fixation methods, and biologic augmentation may further enhance long-term outcomes and graft survivorship.

Click here to access the abstract.

Bibliography

Jackson GR, Nuelle CW, Sherman SL. State of the Art in Meniscus Allograft Transplantation. Operative Techniques in Sports Medicine. 2026. doi:10.1016/j.otsm.2026.151241.