J Exp Orthop. 2021 Mar 31;8(1):24. doi: 10.1186/s40634-021-00345-y.
The future of meniscus science: international expert consensus.
Journal of experimental orthopaedics
Nicholas N DePhillipo, Robert F LaPrade, Stefano Zaffagnini, Caroline Mouton, Romain Seil, Philippe Beaufils
Affiliations
Affiliations
- Oslo Sports Trauma Research Center, 4014 Ulleval Stadion, 0806, Oslo, Norway. [email protected].
- Twin Cities Orthopedics, Edina, MN, USA.
- Rizzoli Orthopedic Institutes of Bologna, Bologna, Italy.
- Department of Orthopaedic Surgery, Centre Hospitalier de Luxembourg, Clinique d'Eich, Luxembourg city, Luxembourg.
- Sports Medicine and Science, Luxembourg Institute of Research in Orthopaedics, Luxembourg city, Luxembourg.
- Human Motion, Orthopaedics, Sports Medicine and Digital Methods, Luxembourg Institute of Health, Luxembourg city, Luxembourg.
- Centre Hospitalier de Versailles, Versailles, France.
PMID: 33791890
PMCID: PMC8012449 DOI: 10.1186/s40634-021-00345-y
Abstract
PURPOSE: The purpose of this study was to evaluate the main focus areas for research and development for furthering the state of meniscus science in 2021.
METHODS: An electronic survey including 10 questions was sent in a blind fashion to the faculty members of the 5
RESULTS: Of the 82 faculty, 76 (93%) from 18 different countries completed the survey (84% male, 16% female). The highest ranked future research and development focus areas were meniscus repair, biologics, osteotomy procedures, addressing meniscus extrusion, and the development of new therapies for the prevention of posttraumatic osteoarthritis. Currently, the most 'valuable' type of biologic reported for meniscus treatment was platelet-rich plasma. The main reported global research limitation was a lack of long-term clinical outcomes data. The most promising emerging medical technologies for improving meniscus science were 3-D printing, personalized medicine, and artificial implants.
CONCLUSIONS: This survey suggests that the future of meniscus science should be focused on meniscal preservation techniques through meniscus repair, addressing meniscal extrusion, and the use of orthobiologics. The lack of long-term clinical outcomes was the main reported research limitation globally for meniscus treatment. Future product development utilizing emerging medical technologies suggest the use of 3-D printing for meniscal transplants/scaffolds, personalized treatment, and bioengineering for artificial implants.
LEVEL OF EVIDENCE: Level V.
Keywords: Biomechanics; Knee osteotomy; Meniscal extrusion; Meniscus repair; Orthobiologics; Orthopedic medical devices; Posttraumatic osteoarthritis
References
- J Bone Joint Surg Br. 1948 Nov;30B(4):664-70 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2015 Jan;23(1):51-8 - PubMed
- Orthop J Sports Med. 2019 Feb 22;7(2):2325967119827267 - PubMed
- Orthop J Sports Med. 2018 Jun 15;6(6):2325967118779045 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2020 Apr;28(4):1177-1194 - PubMed
- Int J Mol Sci. 2020 Oct 06;21(19): - PubMed
- Orthopedics. 2019 Mar 1;42(2):66-73 - PubMed
- Am J Sports Med. 2019 Mar;47(3):762-769 - PubMed
- Arthroscopy. 2011 Mar;27(3):301-2 - PubMed
- Arthroscopy. 2020 May;36(5):1441-1442 - PubMed
- Drug Deliv. 2019 Dec;26(1):870-885 - PubMed
- Biomed Res Int. 2020 Jun 21;2020:6508781 - PubMed
- Expert Rev Med Devices. 2012 Mar;9(2):147-57 - PubMed
- Curr Opin Pharmacol. 2018 Jun;40:67-73 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):333-334 - PubMed
- Jt Dis Relat Surg. 2021;32(1):267-273 - PubMed
- J Orthop Surg (Hong Kong). 2019 May-Aug;27(2):2309499019849813 - PubMed
- Arthroscopy. 2015 May;31(5):944-55 - PubMed
- J Anat Physiol. 1884 Apr;18(Pt 3):i2-238 - PubMed
- Drug Discov Today. 2017 Jul;22(7):1064-1068 - PubMed
- Chem Soc Rev. 2018 Jul 30;47(15):5646-5683 - PubMed
- J Bone Joint Surg Am. 2017 May 17;99(10):809-819 - PubMed
- Arch Bone Jt Surg. 2020 Jan;8(1):1-4 - PubMed
- Expert Rev Med Devices. 2016 Sep;13(9):807-13 - PubMed
- Orthop Traumatol Surg Res. 2017 Dec;103(8S):S237-S244 - PubMed
- Polymers (Basel). 2020 Sep 18;12(9): - PubMed
- Orthop J Sports Med. 2016 Mar 31;4(3):2325967116636586 - PubMed
- Int J Sports Phys Ther. 2020 Apr;15(2):301-325 - PubMed
- Am J Sports Med. 2020 Oct;48(12):NP52-NP54 - PubMed
- Am J Sports Med. 1982 Mar-Apr;10(2):90-5 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2016 May;24(5):1421-3 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):459-467 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2019 Feb;27(2):341-342 - PubMed
- JAMA Oncol. 2018 Sep 1;4(9):1274-1280 - PubMed
- Am J Sports Med. 2016 Dec;44(12):3270-3283 - PubMed
- J Biomed Mater Res B Appl Biomater. 2013 Oct;101(7):1133-42 - PubMed
- PM R. 2020 Aug;12(8):805-816 - PubMed
- Biomed Res Int. 2018 Jan 17;2018:8472309 - PubMed
- Orthopade. 2000 Dec;29(12):1044-54 - PubMed
- Adv Funct Mater. 2019 Apr 11;29(15): - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2015 Oct;23(10):2780-8 - PubMed
- Orthop Clin North Am. 1979 Jul;10(3):629-42 - PubMed
- Orthop Traumatol Surg Res. 2019 Jun;105(4):677-682 - PubMed
- Int J Mol Sci. 2020 Feb 25;21(5): - PubMed
- Am J Sports Med. 2019 Jul;47(9):2174-2187 - PubMed
- Knee Surg Sports Traumatol Arthrosc. 2021 Feb;29(2):329-332 - PubMed
- Ryumachi. 1977 Jul;17(4):371-2 - PubMed
- Sports Health. 2020 Jan/Feb;12(1):58-60 - PubMed
- J Biomech. 2014 Jun 27;47(9):2130-6 - PubMed
- J Pediatr Orthop. 2019 Jul;39(Issue 6, Supplement 1 Suppl 1):S53-S55 - PubMed
- Biomaterials. 2021 Jan;267:120466 - PubMed
Publication Types