{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T14:02:07Z","timestamp":1789394527656,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T00:00:00Z","timestamp":1643587200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100005713","name":"Technische Universit\u00e4t M\u00fcnchen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005713","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To determine the current status and demand of meniscal allograft transplantation (MAT) in Germany among members of the German Knee Society (=\u2009Deutsche Kniegesellschaft; DKG).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 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\u2010academic 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\u2010meniscectomy 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\u2010frozen grafts (56.6%), peracetic acid\u2013ethanol sterilized grafts (35.9%), and cryopreserved grafts (7.6%). Participants reported to perform suture\u2010only fixation more often than bone block fixation for both medial (73.6% vs. 22.6%) and lateral (69.8% vs. 24.5%) MAT.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>More 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of evidence<\/jats:title><jats:p>Level V.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00167-022-06889-5","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T03:03:55Z","timestamp":1643598235000},"page":"2352-2357","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["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"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3997-1010","authenticated-orcid":false,"given":"Philipp W.","family":"Winkler","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department for Orthopaedic Sports Medicine Klinikum rechts der isar, Technical University of Munich Ismaninger Str. 22 81675 Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Svea","family":"Faber","sequence":"additional","affiliation":[{"name":"<!--<label>2<\/label>--> OCM Orthop\u00e4dische Chirurgie M\u00fcnchen Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maurice","family":"Balke","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Sportsclinic Cologne Universit\u00e4t Witten\/Herdecke K\u00f6ln Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Metzlaff","sequence":"additional","affiliation":[{"name":"<!--<label>4<\/label>--> St. Joseph Krankenhaus Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas R.","family":"Niethammer","sequence":"additional","affiliation":[{"name":"<!--<label>5<\/label>--> Department of Orthopaedics and Trauma Surgery Musculoskeletal University Center Munich (MUM), University Hospital, LMU Munich Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip P.","family":"Roessler","sequence":"additional","affiliation":[{"name":"<!--<label>6<\/label>--> Gelenkzentrum Mittelrhein Koblenz Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ralf","family":"Henkelmann","sequence":"additional","affiliation":[{"name":"<!--<label>7<\/label>--> Department of Orthopedics, Trauma and Plastic Surgery University of Leipzig Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Kurme","sequence":"additional","affiliation":[{"name":"<!--<label>8<\/label>--> ATOS Klinik Fleetinsel Hamburg Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sebastian","family":"Colcuc","sequence":"additional","affiliation":[{"name":"<!--<label>9<\/label>--> Klinik f\u00fcr Arthroskopische Chirurgie, Sporttraumatologie und Sportmedizin BG Klinikum Duisburg, Duisburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"Zimmermann","sequence":"additional","affiliation":[{"name":"<!--<label>10<\/label>--> Unfallchirurgie und Sporttraumatologie TheresienkrankenhausMannheim Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wolf","family":"Petersen","sequence":"additional","affiliation":[{"name":"<!--<label>11<\/label>--> Sportklinik Berlin und Klinik f\u00fcr Orthop\u00e4die und Unfallchirurgie Martin\u2010Luther\u2010Krankenhaus Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa A.","family":"Diermeier","sequence":"additional","affiliation":[{"name":"<!--<label>12<\/label>--> Unfallkrankenhaus Berlin Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,1,31]]},"reference":[{"key":"e_1_2_10_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354658601400405"},{"key":"e_1_2_10_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167\u2010019\u201005459\u20106"},{"key":"e_1_2_10_4_2","unstructured":"Bundesministerium der Justiz und f\u00fcr Verbraucherschutz(2020)Medicinal products act in the version published on 12 December 2005 (Federal Law Gazette [BGBl.])Part I p. 3394 last amended by Article 5 of the Act of 9 December 2020 (Federal Law Gazette I p. 2870). 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MB is a consultant for Smith & Nephew and Conmed. WP reports receiving consulting fees from Karl Storz and lecture fees from Plasmaconcept, Geistlich, Otto Bock, and OPED.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"No clinical or patient data were collected in this survey. All survey data were collected anonymously; thus, no identifiable private information was involved. This survey was therefore considered exempt from ethical review according to the Professional Code of Conduct for Physicians in Bavaria (Bavarian Chamber of Physicians).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Informed consent was obtained from all participants.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}