{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T16:41:52Z","timestamp":1789576912511,"version":"build-2803163510"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Knee Surg"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>The purpose of this study was to analyze the effect of obesity and other clinical factors on the outcome of meniscal allograft transplantation (MAT) with transosseous fixation. A retrospective cohort study was performed on patients who underwent a MAT between 2002 and 2017. All the participants had a minimum follow-up period of 24\u2009months. The variables assessed were age at the time of the transplant, side, sex, transplanted meniscus (lateral\/medial), body mass index (BMI), smoking status, and previous surgeries. Lysholm, Tegner, and International Knee Documentation Committee (IKDC) test outcomes, and patient satisfaction were recorded. Image assessment was performed using plain standing X-rays and a follow-up magnetic resonance imaging scan. Thirty-five patients fulfilled the inclusion criteria. The mean follow-up time was of 75.7 standard deviation (SD) 43.4\u2009months. Patients with a BMI\u2009\u2265\u200930 underwent medial meniscal transplants (88.9 vs. 42.3%, p\u2009=\u20090.022, respectively) more frequently. Obese patients had a significantly lower IKDC (48.6 SD 19.9 vs. 61.7 SD 13.1, p\u2009=\u20090.038, power: 57.5%) and Lysholm (60.3 SD 19.2 vs. 79.4 SD 14.3, p\u2009=\u20090.004, power: 88.7%) scores compared with nonobese patients. The satisfaction and Tegner scores were also lower in obese patients (55.6 vs. 80.7%, p\u2009=\u20090.136, and 2.8 SD 1.0 vs. 4.0 SD 1.9, p\u2009=\u20090.104, respectively); however, these differences were not statistically significant. Obese patients had higher rates of meniscal transplant failure compared with nonobese patients (adjusted hazard ratio: 11.8 [95% confidence interval: 1.5\u201391.4]). No differences were observed between obese and nonobese patients regarding age, sex, side, smoking status, and follow-up time. In this study, a BMI\u2009\u2265\u200930\u2009kg\/m2 resulted in higher MAT failure rates. Nonobese patients had better knee functional results compared with obese individuals.<\/jats:p>","DOI":"10.1055\/s-0039-1695041","type":"journal-article","created":{"date-parts":[[2019,8,21]],"date-time":"2019-08-21T23:15:03Z","timestamp":1566429303000},"page":"267-272","source":"Crossref","is-referenced-by-count":20,"title":["Obesity and Meniscal Transplant Failure: A Retrospective Cohort Study"],"prefix":"10.1055","volume":"34","author":[{"given":"Carlos","family":"Jim\u00e9nez-Garrido","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Hospital Universitario Virgen de la Victoria, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abel","family":"G\u00f3mez-C\u00e1ceres","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Hospital Regional Universitario de M\u00e1laga, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Josefa","family":"Espejo-Reina","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Hospital de Antequera, Antequera, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5812-7627","authenticated-orcid":false,"given":"Alejandro","family":"Espejo-Reina","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Cl\u00ednica Espejo, Paseo Reding, M\u00e1laga, Spain"},{"name":"Deparment of Orthopaedic Surgery, Hospital Vithas Parque San Antonio, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iskandar","family":"Tamimi","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Hospital Regional Universitario de M\u00e1laga, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 Miguel","family":"Serrano-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Hospital Universitario Virgen de la Victoria, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Dalla Rosa-Nogales","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Hospital Vithas Parque San Antonio, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandro","family":"Espejo-Baena","sequence":"additional","affiliation":[{"name":"Deparment of Orthopaedic Surgery, Cl\u00ednica Espejo, Paseo Reding, M\u00e1laga, Spain"},{"name":"Deparment of Orthopaedic Surgery, Hospital Vithas Parque San Antonio, M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,8,21]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/s00167-010-1351-6","article-title":"Twenty-six years of meniscal allograft transplantation: is it still experimental? A meta-analysis of 44 trials","volume":"19","author":"M Elattar","year":"2011","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"164","DOI":"10.5435\/00124635-200603000-00007","article-title":"Meniscal allograft transplantation","volume":"14","author":"J K Sekiya","year":"2006","journal-title":"J Am Acad Orthop Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1016\/j.ocl.2005.05.008","article-title":"Indications for allografts","volume":"36","author":"P E Caldwell III","year":"2005","journal-title":"Orthop Clin North Am"},{"issue":"05","key":"ref4","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1302\/0301-620X.79B5.0790866","article-title":"Alternative treatments for meniscal injuries","volume":"79","author":"R Verdonk","year":"1997","journal-title":"J Bone Joint Surg Br"},{"issue":"07","key":"ref5","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/S0749-8063(04)00600-0","article-title":"Meniscal allograft transplantation--part I: background, results, graft selection and preservation, and surgical considerations","volume":"20","author":"P C Rijk","year":"2004","journal-title":"Arthroscopy"},{"key":"ref6","first-page":"77","volume-title":"Preoperative issues: patient selection","author":"F Dirisamer","year":"2015"},{"key":"ref7","first-page":"383","article-title":"Allograft meniscal transplantation: background, techniques, and results","volume":"52","author":"B J Cole","year":"2003","journal-title":"Instr Course Lect"},{"issue":"02","key":"ref8","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.arthro.2003.11.032","article-title":"Long-term results after combined medial meniscal allograft transplantation and anterior cruciate ligament reconstruction: minimum 8.5-year follow-up study","volume":"20","author":"K W Graf Jr","year":"2004","journal-title":"Arthroscopy"},{"issue":"11","key":"ref9","doi-asserted-by":"crossref","first-page":"2240","DOI":"10.1177\/0363546510375399","article-title":"Arthroscopically assisted meniscal allograft transplantation in the knee: a medium-term subjective, clinical, and radiographical outcome evaluation","volume":"38","author":"B Vundelinckx","year":"2010","journal-title":"Am J Sports Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1051\/sicotj\/2017016","article-title":"Meniscal allograft transplantation: a meta-analysis","volume":"3","author":"M De Bruycker","year":"2017","journal-title":"SICOT J"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"557","DOI":"10.1016\/S0140-6736(10)62037-5","article-title":"National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9\u00b71 million participants","volume":"377","author":"M M Finucane","year":"2011","journal-title":"Lancet"},{"issue":"08","key":"ref12","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1055\/s-0035-1569480","article-title":"The relationship between body mass index and risk of failure following meniscus repair","volume":"29","author":"M F Sommerfeldt","year":"2016","journal-title":"J Knee Surg"},{"issue":"S 11","key":"ref13","doi-asserted-by":"crossref","first-page":"S208","DOI":"10.1002\/acr.20632","article-title":"Measures of knee function: International Knee Documentation Committee (IKDC) Subjective Knee Evaluation Form, Knee Injury and Osteoarthritis Outcome Score (KOOS), Knee Injury and Osteoarthritis Outcome Score Physical Function Short Form (KOOS-PS), Knee Outcome Survey Activities of Daily Living Scale (KOS-ADL), Lysholm Knee Scoring Scale, Oxford Knee Score (OKS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Activity Rating Scale (ARS), and Tegner Activity Score (TAS)","volume":"63","author":"N J Collins","year":"2011","journal-title":"Arthritis Care Res (Hoboken)"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/j.arthro.2014.11.020","article-title":"Meniscal allograft transplantation: how should we be doing it? A systematic review","volume":"31","author":"P Myers","year":"2015","journal-title":"Arthroscopy"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"998","DOI":"10.1177\/0363546514536021","article-title":"Meniscal allograft transplantation: a systematic review","volume":"43","author":"F Rosso","year":"2015","journal-title":"Am J Sports Med"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1007\/s00167-014-3310-0","article-title":"Meniscal allograft transplantation in a symptomatic meniscal deficient knee: a systematic review","volume":"23","author":"N A Smith","year":"2015","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1055\/s-0032-1313738","article-title":"Prospective long-term evaluation of meniscal allograft transplantation procedure: a minimum of 7-year follow-up","volume":"25","author":"B M Saltzman","year":"2012","journal-title":"J Knee Surg"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1177\/0363546505284235","article-title":"Prospective evaluation of allograft meniscus transplantation: a minimum 2-year follow-up","volume":"34","author":"B J Cole","year":"2006","journal-title":"Am J Sports Med"},{"issue":"08","key":"ref19","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1007\/s00167-005-0033-2","article-title":"Meniscal allograft transplantation: long-term clinical results with radiological and magnetic resonance imaging correlations","volume":"14","author":"P C Verdonk","year":"2006","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"08","key":"ref20","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1016\/S0749-8063(03)00735-7","article-title":"A comparative study of medial versus lateral arthroscopic partial meniscectomy on stable knees: 10-year minimum follow-up","volume":"19","author":"F Chatain","year":"2003","journal-title":"Arthroscopy"},{"issue":"05","key":"ref21","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.1002\/jor.20037","article-title":"Why lateral meniscectomy is more dangerous than medial meniscectomy. A finite element study","volume":"24","author":"E Pe\u00f1a","year":"2006","journal-title":"J Orthop Res"},{"issue":"05","key":"ref22","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/j.arthro.2005.12.045","article-title":"Meniscus allograft survival in patients with moderate to severe unicompartmental arthritis: a 2- to 7-year follow-up","volume":"22","author":"K R Stone","year":"2006","journal-title":"Arthroscopy"},{"issue":"11","key":"ref23","doi-asserted-by":"crossref","first-page":"1233","DOI":"10.1016\/j.arthro.2006.07.003","article-title":"Factors affecting the outcome of arthroscopy in medial-compartment osteoarthritis of the knee","volume":"22","author":"G Spahn","year":"2006","journal-title":"Arthroscopy"},{"issue":"10","key":"ref24","doi-asserted-by":"crossref","first-page":"1733","DOI":"10.1136\/ard.2011.150052","article-title":"Risk factors for medial meniscal pathology on knee MRI in older US adults: a multicentre prospective cohort study","volume":"70","author":"M Englund","year":"2011","journal-title":"Ann Rheum Dis"},{"issue":"04","key":"ref25","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.amepre.2005.01.013","article-title":"Associations of body mass index with meniscal tears","volume":"28","author":"G M Ford","year":"2005","journal-title":"Am J Prev Med"},{"issue":"06","key":"ref26","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1007\/s00256-011-1259-3","article-title":"Obesity increases the prevalence and severity of focal knee abnormalities diagnosed using 3T MRI in middle-aged subjects--data from the Osteoarthritis Initiative","volume":"41","author":"M A Laberge","year":"2012","journal-title":"Skeletal Radiol"},{"issue":"01","key":"ref27","doi-asserted-by":"crossref","first-page":"126","DOI":"10.3899\/jrheum.131349","article-title":"Obesity is associated with greater valgus knee alignment in pubertal children, and higher body mass index is associated with greater variability in knee alignment in girls","volume":"42","author":"S Bout-Tabaku","year":"2015","journal-title":"J Rheumatol"},{"issue":"07","key":"ref28","doi-asserted-by":"crossref","first-page":"1591","DOI":"10.1177\/0363546512446674","article-title":"Suture-only fixation technique leads to a higher degree of extrusion than bony fixation in meniscal allograft transplantation","volume":"40","author":"F Abat","year":"2012","journal-title":"Am J Sports Med"},{"issue":"12","key":"ref29","doi-asserted-by":"crossref","first-page":"2448","DOI":"10.1177\/0363546510375550","article-title":"Relationship between meniscal extrusion and various clinical findings after meniscus allograft transplantation","volume":"38","author":"J K Ha","year":"2010","journal-title":"Am J Sports Med"},{"issue":"06","key":"ref30","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1016\/j.arthro.2018.01.017","article-title":"Capsulodesis versus bone trough technique in lateral meniscal allograft transplantation: graft extrusion and functional results","volume":"34","author":"A Masferrer-Pino","year":"2018","journal-title":"Arthroscopy"},{"issue":"04","key":"ref31","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1016\/S0749-8063(97)90128-6","article-title":"Meniscal transplantation and degenerative articular change: an experimental study in the rabbit","volume":"13","author":"J F Cummins","year":"1997","journal-title":"Arthroscopy"},{"issue":"05","key":"ref32","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1308\/003588409X428559","article-title":"Meniscal allograft transplantation: a review of the current literature","volume":"91","author":"T B Crook","year":"2009","journal-title":"Ann R Coll Surg Engl"},{"issue":"455","key":"ref33","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/BLO.0b013e318030c24e","article-title":"Meniscal allograft transplantation: a systematic review","volume":"455","author":"M J Matava","year":"2007","journal-title":"Clin Orthop Relat Res"}],"container-title":["The Journal of Knee Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0039-1695041.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,2,22]],"date-time":"2021-02-22T23:33:10Z","timestamp":1614036790000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0039-1695041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,8,21]]},"references-count":33,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,2,22]]},"published-print":{"date-parts":[[2021,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0039-1695041","relation":{},"ISSN":["1538-8506","1938-2480"],"issn-type":[{"value":"1538-8506","type":"print"},{"value":"1938-2480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,8,21]]}}}