Lateral Capsular Fixation: An Implant-Free Technique to Prevent Meniscal Allograft Extrusion

Monllau García, Juan Carlos; Ibañez, Maximiliano; Masferrer-Pino, Àngel; Gelber, Pablo-Eduardo; Erquicia, Juan Ignacio; Pelfort López, Javier

doi:http://dx.doi.org/10.1016/j.eats.2016.09.032

Lateral Capsular Fixation: An Implant-Free Technique to Prevent Meniscal Allograft Extrusion

Citation

Monllau JC, Ibañez M, Masferrer-Pino A, Gelber PE3, Erquicia JI, Pelfort X. Lateral Capsular Fixation: An Implant-Free Technique to Prevent Meniscal Allograft Extrusion. Arthrosc Tech. 2017 Mar 6;6(2):e269-e274. DOI: 10.1016/j.eats.2016.09.032

Abstract

Although several surgical techniques have been described to perform meniscal allograft transplantation with good clinical results and although different methods of capsular stabilization can be found in the literature, there is no standard surgical technique to prevent a common complication in the most of series: the tendency to a radial displacement or extrusion of the transplanted menisci. We present a simple, reproducible, and implant-free technique to perform a lateral capsular fixation (capsulodesis) at the time of only the soft-tissue fixation technique of meniscal allograft transplantation in an effort to reduce or prevent the risk of graft extrusion. Using a minimum of two 2.4-mm tunnels drilled from the contralateral side of the tibia with the help of a regular tibial anterior cruciate ligament guide, a capsular attachment to the lateral tibial plateau is obtained.