ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2022
Germany has a high demand in meniscal allograft transplantation but is subject to health economic and legal challenges: a survey of the German Knee Society.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 10 citations in OpenAlex.
- Predictors of graft signal-to-noise ratio after medial meniscus reconstruction using tendon autograft.Medicine · 2026Article
- Meniscal allograft transplantation and scaffolds: a narrative review.Annals of joint · 2026Review
- Artificial medial and lateral meniscus prostheses mimic kinematics of the native meniscus without affecting knee joint motion: A cadaveric study.Journal of experimental orthopaedics · 2025Article
- Report on Evolving Indications, Technique, and Outcomes of Novel And Surgical Procedures-NUsurface.Current reviews in musculoskeletal medicine · 2025Review
- The Current State of Meniscus Replacements.Current reviews in musculoskeletal medicine · 2024Review
- Advances in Hydrogels for Meniscus Tissue Engineering: A Focus on Biomaterials, Crosslinking, Therapeutic Additives.Gels (Basel, Switzerland) · 2024Review
- Meniscus allograft transplantation for biologic knee preservation: gold standard or dilemma?Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Allografts for partial meniscus repair: anFrontiers in bioengineering and biotechnology · 2023Article
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Authors and funding
12 authors at 12 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine the current status and demand of meniscal allograft transplantation (MAT) in Germany among members of the German Knee Society (= Deutsche Kniegesellschaft; DKG).
methodsAn online survey was conducted between May 2021 and June 2021 and sent to all members of the DKG. The survey questionnaire consisted of 19 questions to determine the demand and technical aspects of MAT among the participants and to identify areas of improvement in MAT in Germany.
resultsOverall, 152 participants, 136 (89.5%) from Germany, 8 (5.3%) from Switzerland, 6 (4.0%) from Austria, and 2 (1.3%) from other countries completed the online survey, with the majority working in non-academic institutions. According to the regulations of the DKG, 87 (57.2%) participants were board certified as specialized knee surgeons and 97 (63.8%) worked primarily in the field of orthopedic sports medicine. MAT was considered clinically necessary in Germany by 139 (91.5%) participants. Patient age (83.6%), post-meniscectomy syndrome in isolated lateral (79.6%) and medial (71.7%) meniscus deficiency, and functional and athletic demands (43.4%) were the most important determinants to consider MAT in patients. Participants reported that reimbursement (82.9%), jurisdiction over the use of donor grafts (77.6%), and the availability of meniscal allografts (76.3%) are the main challenges in performing MAT in Germany. The most frequently used meniscal allograft types by 54 (35.5%) participants who had already performed MAT were fresh-frozen grafts (56.6%), peracetic acid-ethanol sterilized grafts (35.9%), and cryopreserved grafts (7.6%). Participants reported to perform suture-only fixation more often than bone block fixation for both medial (73.6% vs. 22.6%) and lateral (69.8% vs. 24.5%) MAT.
conclusionMore than 90% of the responding members of the DKG indicated that MAT is a clinically important and valuable procedure in Germany. Reimbursement, jurisdiction over the use of donor grafts, and the availability of meniscal allografts should be improved. This survey is intended to support future efforts to facilitate MAT in daily clinical practice in Germany. LEVEL OF EVIDENCE: Level V.
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