
Losing your meniscus can feel like losing a part of your knee's foundation. This C-shaped piece of tissue acts as your knee's shock absorber and protects the cartilage from wear. When the meniscus is removed or severely damaged, many patients face chronic pain and early osteoarthritis.
A meniscus transplant offers hope for people dealing with meniscus deficiency. This joint preservation surgery replaces your damaged meniscus with donor tissue. The procedure aims to restore knee function and slow cartilage wear.

A meniscus transplant is a surgical procedure that replaces a damaged or missing meniscus with a meniscus allograft from a tissue donor. The donor meniscus must match your knee's size and shape to ensure proper outcomes.
The meniscus plays a vital role in knee biomechanics. It distributes weight across your joint and maintains joint space. Without it, your bones rub together and cause pain.
The procedure works through arthroscopy in most cases. Surgeons make small cuts and use a camera to guide the graft placement. Some cases need open surgery, especially when bone plug fixation is required for secure attachment.
This transplantation approach focuses on saving your natural knee. The allograft restores your knee's shock absorber function and protects cartilage health. Joint preservation delays the need for total knee replacement by years or decades.
The donor meniscus acts like your original tissue. It helps with load transmission across the joint. This reduces stress and protects against cartilage wear.
Proper patient selection ensures the best outcomes. Your surgeon evaluates your joint anatomy and activity level during patient evaluation. The goal is matching the right candidates with this joint preservation option.
The surgery begins with careful imaging and sizing of the allograft. Your doctor reviews MRI scans to measure your knee precisely. This ensures the graft fits perfectly.
During the procedure, surgeons prepare your knee joint. They remove any damaged tissue and create space for the new donor meniscus. The graft is then carefully positioned.
Fixation methods use sutures to attach the allograft to surrounding areas. Some techniques include bone plugs for stronger connection. The sutures hold everything in place during healing.
Blood supply to the outer edges helps integration. Your body gradually accepts the donor tissue. This healing process takes several months as the graft becomes part of your knee.

Patient selection determines transplant success and outcomes. Ideal candidates are younger than 50 and physically active. You need healthy cartilage in most of your knee.
Eligibility criteria include stable ligaments and good cartilage health. Your activity level should justify the surgery. Patients who want to return to sports often seek this treatment option.
Indications for surgery include pain after meniscus removal and early cartilage damage. The procedure works best when osteoarthritis hasn't advanced too far. You should have minimal cartilage wear in most areas.
Indications also include those experiencing knee injuries that led to meniscus loss. If you've tried other treatments without relief, transplantation may help. Your surgeon assesses whether joint preservation surgery fits your situation.
Contraindications exist for some patients. Advanced arthritis makes the procedure less effective. Unstable joints need other repairs first before considering a meniscus allograft.
Rehabilitation starts immediately after your procedure. You'll use crutches for several weeks to protect the graft. This allows proper healing without too much stress.
Physical therapy begins with gentle range of motion exercises. Your therapist gradually adds strength training. Full recovery takes six to twelve months for most patients.
Weight-bearing restrictions last about six weeks. Your medical team monitors the healing process with regular checkups. Following your rehabilitation plan improves outcomes significantly.
Return to sports requires medical clearance. Most patients resume full activities within a year. Your dedication to therapy determines your final outcomes.
Like any surgery, meniscus transplants carry risks that affect outcomes. Infection can occur but remains rare with proper care. Graft failure happens in some cases if the tissue doesn't heal correctly.
Blood clots are a potential complication your team will discuss. Stiffness might develop without proper therapy and rehabilitation. Joint lubrication problems can persist in rare situations.
The graft may not entirely integrate into your knee. Some patients require further operations to resolve difficulties. These issues can have long-term consequences.
Many dangers can be reduced via careful fixation during surgery. Following post-surgical advice is critical for avoiding complications. When patients strictly adhere to medical guidance, the majority of them achieve positive results.
Understanding the long-term benefits of joint preservation surgery
The allograft replaces your missing meniscus and brings back normal knee function. Your joint moves the way it was designed to move.
The new meniscus shields your cartilage from damage and wear. This protection keeps your knee healthy for years longer.
A working meniscus spreads weight evenly across your knee. Your bones receive better shock absorption and less stress.
The transplant may prevent or delay arthritis for many years. You avoid early joint replacement and maintain mobility.
Joint preservation is the main goal of this transplantation. The allograft restores your knee's natural biomechanics and function. It protects against further cartilage damage and wear.
The transplant may delay or prevent osteoarthritis for many years. Studies show improved outcomes in knee stability and mobility. Pain relief occurs as the joint stabilizes with the new tissue.
Cartilage restoration happens indirectly through better protection. The graft shields existing cartilage from excessive stress. This preservation approach beats early joint replacement for younger patients.
Joint preservation through meniscus transplant offers hope for active people. The procedure maintains your natural anatomy longer. Better outcomes occur when surgery happens before severe damage develops.
When facing knee injuries, you have several treatment options available. Meniscus repair works if enough healthy tissue remains in your knee. Removal relieves pain but causes outcomes like problems later with cartilage health.
Living without a meniscus leads to progressive cartilage wear. Total knee replacement is too extreme for young, active patients. A meniscus allograft fills the gap between these approaches.
Some patients combine procedures for better outcomes. Cartilage restoration techniques may accompany transplantation when needed. Your surgeon will recommend the best path based on indications and your specific knee condition.
The transplantation procedure offers a middle ground. It preserves your natural joint longer than other options. This knee preservation surgery delays more invasive procedures like total replacement.

Don't wait until your cartilage health declines further. If you've had a meniscus removed or severely damaged, talk to an orthopedic surgeon about meniscus transplant surgery today. Early intervention leads to better outcomes and can save your joint from premature arthritis.
Schedule a consultation to learn if you're a candidate for this procedure. Bring your imaging results and surgery records to your appointment. A specialist can perform a thorough evaluation and discuss whether this joint preservation option fits your needs and goals.
A donor meniscus can last 10 to 20 years or longer with proper care and rehabilitation. Success depends on factors like your age, graft fixation quality, and how well you follow recovery protocols.
Most patients return to sports within 9 to 12 months after the procedure. Your surgeon will clear you based on how the graft healed and your strength during therapy sessions.
Good candidates are under 50 years old with pain from meniscus loss but minimal arthritis. You need stable ligaments, healthy tissue in most areas, and realistic expectations about outcomes.
Surgeons use MRI scans and special imaging to measure your joint anatomy precisely. The tissue bank provides an allograft that matches your size within millimeters to ensure proper function.