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This Article Full Text Free Full Text (PDF) Free All Versions of this Article: 34/1/98    most recent 0363546505278706v1 Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Request Reprints Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Rankin, M. Articles by Seow, A. Search for Related Content PubMed PubMed Citation Articles by Rankin, M. Articles by Seow, A. Related Collections Imaging Studies Meniscus Operative Kinematics and kinetics

Human Meniscus Allografts’ In Vivo Size and Motion Characteristics

Magnetic Resonance Imaging Assessment Under Weightbearing Conditions

Marc Rankin, MD^*, Frank R. Noyes, MD, Sue D. Barber-Westin^,, Stephen G. Hushek, PhD and Albert Seow, MD^||

From the ^* Rankin Orthopaedics and Sports Medicine Center, Washington, District of Columbia, the Cincinnati Sportsmedicine Research and Education Foundation, Cincinnati, Ohio, Norton Hospital, Louisville, Kentucky, and the ^|| Department of Radiology, University of Louisville, Louisville, Kentucky

Address correspondence to Sue D. Barber-Westin, c/o Cincinnati Sportsmedicine Research and Education Foundation, 10663 Montgomery Road, Cincinnati, OH 45242 (e-mail: sbwestin{at}csmref.org).

Background: Although many reports have described clinical outcome of meniscus transplants, their size and motion patterns are not well understood. This study assessed postoperative in vivo size and motion patterns of meniscus transplants under full weightbearing conditions.

Hypothesis: The human meniscus transplant has size and motion characteristics similar to the native menisci.

Study Design: Case series; Level of evidence, 4.

Methods: Eight meniscus transplants in 7 knees were studied 15 to 34 months postoperatively. The knees were scanned in an open magnetic resonance imaging 0.5-T superconducting magnet while standing. Single slice sagittal and coronal images were obtained at 0°, 30°, 60°, and 90° of flexion in the operative and contralateral knees.

Results: The mean height and width of the anterior and posterior horns of the transplants were similar to those of native menisci. The millimeters of coronal displacement of motion of the midbody were also similar between the transplants and the native menisci. The anterior horn of the native medial menisci moved a mean of 5 mm more (total anterior to posterior translation, P < .05) than did the transplants. The posterior horn of the native medial menisci, and both horns of the native lateral menisci, also tended to move more than the corresponding horns of the transplanted menisci, although this result could not be confirmed statistically, given the number of menisci studied.

Conclusion: Meniscus transplants had similar size and midbody motion characteristics as the native menisci. The horns of the meniscus transplants tended to show decreased motion compared with the native menisci. The operative techniques and subsequent healing of the graft bone and peripheral attachments provided a stable meniscus construct.

Key Words: meniscus • transplant • MRI • motion