Summary: New indications for meniscal allograft transplantation (MAT) are being added, but the general expert opinion is that it is still a procedure reserved for symptomatic meniscal loss. Lateral MAT has better clinical outcomes and less failure risk compared to medial MAT.
Conclusions: There are three main fixation methods that can be used to fix a MAT: suture-only fixation, double plug fixation and the keyhole technique. All fixation methods have similar outcomes, meaning that despite the biomechanical differences, the selection of which method to use should be made on a case-by-case basis.
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Francisco Figueroa, David Figueroa, Rafael Calvo, Alex Vaisman, João Espregueira-Mendes. "Meniscus Allograft Transplantation: Indications, Techniques and Outcomes". EOR. Volume 4. April 2019.