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Combined meniscus, femoral osteochondral allograft transplantation improves functional scores
Combined meniscus allograft and femoral osteochondral allograft transplantation improved functional scores in patients after surgery, according to study results.
Researchers recorded demographic and intraoperative data, including condylar defect size, preoperative and postoperative IKDC score, SF-12 score, KOOS and Lysholm score, for 32 patients who previously underwent combined meniscus allograft transplantation and fresh osteochondral allograft transplantation with a minimum 2-year follow-up. Mean length of follow-up was 4.2 years.
The researchers used paired tests and regression analysis, and set an alpha value of 0.05 as significant with Bonferroni correction in the case of multiple comparisons.
At the time of the index procedure, the mean condylar defect size was 4.7 ± 2.0 cm2. Significant improvements were seen in Lysholm scores, IKDC scores and all KOOS subdomains from before surgery to after surgery, according to the researchers.
Additionally, postoperative IKDC, Lysholm and KOOS scores significantly increased from preoperative scores among patients with condylar defects of less than 4 cm2 compared with patients who had condylar defects greater than 4 cm2.
The researchers concluded that femoral condyle defect size was significantly inversely correlated with postoperative IKDC score, KOOS and Lysholm score.
Patients’ rate of satisfaction with the procedure was 82%, according to the researchers.
Disclosure: See the study for a full list of all authors’ relevant financial disclosures.