Partial meniscal replacement

Written by Dr Sheila Strover on March 14, 2025

A partial meniscal replacement substitutes an irreparably-damage portion of meniscus with a substitute, such as tissue-engineered collagen.

Collagen scaffold sewn in to replace a damaged meniscal region.

Illustration of the menisci on the top of the tibia, to show an area of a meniscal scaffold that has been sewn into place.

Types of scaffold for meniscal replacement

Donated cadaver meniscus and collagen-engineered meniscus are now commonly-used to replace damaged meniscus tissue.

Although the substituted material is not alive, the hope is that blood vessels and meniscus cells will migrate into the substitute and start to produce the fibres that will eventually give strength to the implant.

"....Autologous, allogenic, and artificial meniscal substitutes are available which have evolved in recent years....While autologous meniscal substitution has not been successful, the techniques of meniscal allograft transplantation evolved to become the current standard-of-care for total meniscal insufficiency. Increasing clinical evidence for the efficacy of artificial scaffold-based meniscal substitutes has emerged for the treatment of irreparable partial meniscal injuries....."

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