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Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis.

Publication ,  Journal Article
Grassi, A; Bailey, JR; Filardo, G; Samuelsson, K; Zaffagnini, S; Amendola, A
Published in: Sports Health
2019

CONTEXT:: Meniscal injuries are common among both sport- and non-sport-related injuries, with over 1.7 million meniscal surgeries performed worldwide every year. As meniscal surgeries become more common, so does meniscal allograft transplantation (MAT). However, little is known about the outcomes of MAT in active patients who desire to go back to preinjury activities. OBJECTIVE:: The purpose of this systematic review and meta-analysis was to evaluate return to sport, clinical outcome, and complications after MAT in sport-active patients. DATA SOURCES:: A systematic search of MEDLINE, EMBASE, and CINAHL electronic databases was performed on February 25, 2018. STUDY SELECTION:: Studies of level 1 through 4 evidence looking at MAT in physically active patients with reported return to activity outcomes and at least 2-year follow-up were included. STUDY DESIGN:: Systematic review and meta-analysis. LEVEL OF EVIDENCE:: Level 4. DATA EXTRACTION:: Details of sport-related outcomes and reoperations were extracted and pooled in a meta-analysis. RESULTS:: Nine studies were included in this systematic review. A majority (77%) of athletes and physically active patients were able to return to sport after MAT; two-thirds were able to perform at preinjury levels. Graft-related reoperations were reported in 13% of patients, while the joint replacement rate with partial or total knee prosthesis was 1.2%. CONCLUSION:: Physical activity after MAT appears possible, especially for low-impact sports. However, because of the limited number of studies, their low quality, and the short-term follow-up, the participation recommendation for high-impact and strenuous activities should be considered with caution until high-quality evidence of long-term safety becomes available.

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Published In

Sports Health

DOI

EISSN

1941-0921

Publication Date

2019

Volume

11

Issue

2

Start / End Page

123 / 133

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Transplantation, Homologous
  • Tibial Meniscus Injuries
  • Return to Sport
  • Reoperation
  • Postoperative Complications
  • Menisci, Tibial
  • Humans
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science
 

Citation

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Grassi, A., Bailey, J. R., Filardo, G., Samuelsson, K., Zaffagnini, S., & Amendola, A. (2019). Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis. Sports Health, 11(2), 123–133. https://doi.org/10.1177/1941738118819723
Grassi, Alberto, James R. Bailey, Giuseppe Filardo, Kristian Samuelsson, Stefano Zaffagnini, and Annunziato Amendola. “Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis.Sports Health 11, no. 2 (2019): 123–33. https://doi.org/10.1177/1941738118819723.
Grassi A, Bailey JR, Filardo G, Samuelsson K, Zaffagnini S, Amendola A. Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis. Sports Health. 2019;11(2):123–33.
Grassi, Alberto, et al. “Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis.Sports Health, vol. 11, no. 2, 2019, pp. 123–33. Pubmed, doi:10.1177/1941738118819723.
Grassi A, Bailey JR, Filardo G, Samuelsson K, Zaffagnini S, Amendola A. Return to Sport Activity After Meniscal Allograft Transplantation: At What Level and at What Cost? A Systematic Review and Meta-analysis. Sports Health. 2019;11(2):123–133.
Journal cover image

Published In

Sports Health

DOI

EISSN

1941-0921

Publication Date

2019

Volume

11

Issue

2

Start / End Page

123 / 133

Location

United States

Related Subject Headings

  • Treatment Outcome
  • Transplantation, Homologous
  • Tibial Meniscus Injuries
  • Return to Sport
  • Reoperation
  • Postoperative Complications
  • Menisci, Tibial
  • Humans
  • 4207 Sports science and exercise
  • 4201 Allied health and rehabilitation science