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Meniscal allograft transplants provide effective pain relief for patients with a nonfunctional meniscus, treatable or minimal ipsilateral compartment osteoarthritis, proper or correctable alignment, and a stable or stabilizable knee. In a significant number of cases (50%-70%), cartilage resurfacing, realignment osteotomy, and/or ligament reconstruction (stabilization) is performed. Because concomitant injuries and procedures are very common in meniscal transplant recipients, and loss to long-term follow-up may be high, it remains unknown whether the positive outcome relates to the allograft, the concomitant procedure, or both.
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Tollefson et al. (2025) studied this question.
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