Yashoda Hospitals in Hyderabad performed Revision ACL reconstruction with Meniscal Allograft and IT band tenodesis to get the knee more stable and pain free for a Somalian patient Abdikarim Ahmed Abdi, 26.
Dr. Shashi Kanth G Sr. Consultant Orthopedic Surgeon was the primary surgeon.
The Allograft needed for surgery was procured from Musculoskeletal Transplant Foundation USA. Yashoda Hospitals received a Frozen Cadaver Meniscal graft which was delivered on 29th night transported in dry ice, maintaining the cold chain. Abdi underwent surgery on 30th June and the procedure consisted of Meniscal Allograft Transplantation with Revision ACL (anterior cruciate ligament) reconstruction with PTB graft (Patellar Tendon-Bone) and IT band tenodesis.
Dr. Shashi Kanth explained the rare procedure, “Meniscal allograft transplantation is a surgery in which a ‘C’ shaped cartilage present in the knee, also called as meniscus, is severely torn or had been taken away in the previous surgery, and the patient had symptoms due to its deficiency. A detailed clinical evaluation was done of Abdi’s knee and all relevant scans were taken to make sure that the meniscus would fit Abdi’s knee. The meniscus cadaver allograft was procured from Musculoskeletal Transplant Foundation, USA after proper matching of the size. Surgery was performed with Arthroscopic assistance under General Anaesthesia. The remnants of the meniscus tissue and ACL were debrided. Bed prepared for the meniscus allograft and it was fixed in its normal anatomical site with multiple sutures.Revision ACL surgery and IT band tenodesis were completed as well. After the surgery, Abdi was given a knee brace to wear for the first 6 weeks and was advised to walk with the help of a walker. He will not be allowed to put weight on the leg for at least 6 weeks. We asked him to gently move the knee right after surgery to prevent stiffness. His knee flexion will be allowed to increase gradually to 90 degrees in the next 4 to 6 weeks. He will undergo a long period of rehabilitation to build up his muscle strength and improve his knee movement.”
He had previously undergone a medial meniscectomy in 2018 and in view of the instability he underwent an ACL reconstruction in 2019. Unfortunately even after the two surgeries, his symptoms persisted and worsened with time. Once he regains strength he will be fine say the doctors.
