TABLE 3.
Indications and contraindications for scaffold-based meniscal substitutes and meniscal allograft transplantation.
| Scaffold-based meniscal substitution | Meniscal allograft transplantation | |
| Indications | Clinical symptoms | Clinical symptoms |
| s/p extensive partial meniscal resection | s/p sub-/total meniscal resection | |
| Stable meniscal rim | Insufficient meniscal rim | |
| Intact meniscal roots | Insufficient meniscal roots | |
| Chronic partial meniscal defect | ||
| Contraindications | Age: > 50 yearsa | Age: > 50 yearsa |
| BMI: > 35a | BMI: > 35a | |
| Insufficient meniscal rim | Outerbridge grade III, IV | |
| Insufficient meniscal roots | Fairbank grade > 2 | |
| Knee instability | Joint space narrowing | |
| Limb malalignment | Knee instability | |
| Allergies to animal derived products | Limb malalignment | |
| ICRS grade > 3 | Active infection | |
| Active infection | Autoimmune diseases | |
| Autoimmune diseases | Inflammatory arthritis | |
| Inflammatory arthritis | Smokera | |
| Smokera |
ICRS, International cartilage repair society; s/p, status post.
aRelative contraindication.