Meniscectomy Sequelae Clinical Trial
Official title:
The Clinical and Medico-economical Evaluation of Meniscal Allografts in the Sequelae of Total or Sub-total Meniscectomy.
Total or subtotal meniscectomies in young patients are currently responsible of pain and limitation of activities. There isn't any other treatment than meniscal replacement. But there is no randomized clinical trial on meniscal allograft to validate the efficiency of this treatment.
Meniscal allograft is done through United States and Europe since the last fifteen years.
Operative technique has regularly improved, especially because of new arthroscopic devices.
The meniscal allografts to be used are taken from dead donors and then frozen according to
all the reglementary aspects of tissue bank.
The graft has to be ordered as soon as the patient is randomized ; the sizing of the graft
ordered is important depending on the gender size and height of the patient and on the
measures of the tibial plateau on X Rays.
The arthroscopic procedure is done under general or loco-regional anesthesia. The graft has
to be prepared with bone blocks attached to the anterior and posterior horn of the meniscal
graft. These bone blocks will be fixed through bone tunnels and the meniscus itself will be
sutured on the peripheral meniscus synovial rim.
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