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ACL deficiency
4%
62/1676
Patient age over thirty
79%
1327/1676
Inflammatory arthritis
3%
57/1676
Varus alignment
8%
135/1676
Grade IV chondromalacia
5%
86/1676
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All of the answers are absolute contra-indications except patient age over 30. The Rijk paper is a review which discusses that early reports of transplantation in knees with Outerbridge grade IV chondromalacia yielded up to 50% graft failure within 2 years. Contraindications include uncorrected malalignment prior to surgery, ligament insufficiency, chondral injury, a flattened femoral condyle or tibial plateau. Good results can be obtained if these are addressed prior to or at the time of meniscal transplantation (ie. concomitant ACL reconstruction or corrective osteotomy). The Cole paper reported on 44 meniscal transplants with 77% of patients mostly or completely satisfied with their result at a minimum follow-up of 2 years.
3.0
(33)
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