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Patient symptoms may not accurately reflect cartilage status for meniscal allograft transplantation
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Investigators of this study found mild or tolerable symptoms were not always indicative of well-preserved cartilage in patients who underwent meniscal allograft transplantation.
Researchers conducted a study of 113 consecutive patients who underwent lateral meniscal allograft transplantation. Investigators assessed patient-reported outcomes, including the VAS, Lysholm knee scale, IKDC subjective form and the Tegner activity scale. The International Cartilage Repair Society (ICRS) maximum grade was used to determine associations between patient-reported outcomes and ICRS grades, and to compare low-graded ICRS patients with high-graded ICRS patients.
Results showed more than half of patients (58) had high-grade chondral degeneration. All patients had a mean VAS pain score of 3.1, and mean Lysholm score was 64.9. Investigators noted no associations between patient-reported outcomes and ICRS grades; however, the IKDC subjective score showed a weak correlation with the ICRS grade.
According to researchers, patient-reported outcomes were not significantly different between low-graded and high-graded ICRS patients, except for the Lysolm score. Of the 58 patients with high-grade chondral lesions, 37 patients only felt pain during severe exertion. ‒ by Monica Jaramillo
Disclosure: The researchers report no relevant financial disclosures.
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