Background: While short- and midterm outcomes after meniscal allograft transplantation (MAT) are well documented, there is a paucity of data regarding long-term graft survival. Purpose: To assess mid- to long-term graft survivorship and patient-reported outcomes (PROs) after MAT. Study Design: Cohort study; Level of evidence, 3. Methods: All patients who underwent MAT with bone block or soft tissue fixation between 1993 and 2020 at a single institution were identified. Individuals with .05). However, after adjusting for age and cartilage grade in the MAT compartment, female sex became a significant predictor for graft failure ( P = .04). Clinical failures occurred in 32 patients (40%) and were not associated with graft failures ( P = .20). PROs were not significantly different between male and female patients ( P > .05). Conclusion: The MAT survival rate was 84% at 10 years, with a gradual decline to 76% at 15 years, 69% at 20 years, and 52% at 25 years. After adjusting for age and presence of cartilage lesion, female sex emerged as a predictor of graft failure. These findings highlight the importance of careful patient selection and counseling regarding long-term expectations after MAT.
Park et al. (2026) studied this question.