1. G.C. Coari – A. Tripodo – S. Cappato Casa di Cura “San Camillo” – Forte dei Marmi RELIVE: MENISCUS ALLOGRAFT

2. SORRY, MY ENGLISH IS NOT GOOD BUT MIGLIORERO’ AND SOMETIMES I AM “IMPULSIVE” BY GIOVANNI TRAPATTONI 02/05/2008 FIRST DAY AS IRELAND SOCCER COACH

3. SORRY, MY ENGLISH IS IMPROVING....IT ISN’T PERFECT YET.... BUT MIGLIORERO’... AND I HOPE TO BE GIVEN A 3 rd CHANCE IN TWO YEARS “GOOD-BYE TO 2012”

4. PEDERZINI - COARI - ARNALDI - ADRIANI - BERRUTO ZINI - PRIANO - ZORZI – NICEFORO - ADRAVANTI ITALIAN STUDY GROUP - SIA

5. SINCE OCTOBER 2002

6. A. TRIPODO TRAPIANTO MENISCALE: ESPERIENZA ITALIANA E RISULTATI S.I.A. FELLOWSHIP

8. “ Factors affecting late results after meniscectomy” JOHNSON e coll. JBJS 1974 99 Pz.; F.U. average 17,5 yy. ( 5-37) “ open meniscectomy” 57% unsatisfaction results Worse results in tardive meniscectomy, meniscal lateral tears, women, associated laxity 136 Pz.; F.U. average 8,5 yy. (7,9 – 11.6) “ Arthroscopy meniscectomy” Stable knee 53% had “Fairbank’s changes”(vs. 22% Check) 83% Lysholm > 90 22% severe symptomatic + arthrosys in valgus < 4° / in valgus > 10° “ Arthroscopy partial meniscectomy: a long term follow up” Fauno P. e coll. Arthroscopy 1992 “ Natural history after meniscectomy”……

9. “ Fifteen-years follow up of arthroscopy partial meniscectomy” BURKS RT e coll. Arthroscopy 1997 146 Pz.; F.U. average 14.7 yy. (13.8 – 16.4) “ Arthroscopy partial meniscectomy” 88% good-excellent (Lysholm & RX ) Worse results both in Rx in varus and women Worse results both in Rx and Functionality, if “ACL deficient” Not always links between Rx and functionality 75 Pz.; F.U. average 12.3 yy. (5 – 15) “ Arthroscopy partial lateral meniscectomy” 78% “Fairbank’s changes” Not always links between Rx and functionality “ Arthroscopic partial lateral meniscectomy in an otherwise normal knee” Scheller G e coll. Arthroscopy 2001 36 Pz.; F.U. average 14yy. (12 – 15) “ Arthroscopy partial and total meniscectomy” 33% “Fairbank’s changes” in partial meniscectomy 72% “Fairbank’s changes” in total meniscectomy 74% Lysholm > 94 “ Arthroscopic partial and total meniscectomy : a long term follow up study with matched controls” Andersson-Molina H. e coll. Arthroscopy 2002

11. SAVE THE MENISCUS! SUTURE !!

12. AUTOLOGUS MENISCUS TRANSPLANTATION

14. AN “ENCHANTING” HYPOTHESIS: CHANGING THE NATURAL HISTORY OF A MENISCUS DEFICIENT KNEE

17. WHICH TYPE ? FRESH-FROZEN CRIOPRESERVED NOT IRRADIATED

18. THE SURGICAL TECHNIQUE HAS EVOLVED FROM ARTHROTOMY TO THE CURRENT ARTHROSCOPIC – ASSISTED TECHNIQUE 2002-03 OPEN TECHNIQUE 2004-10 SCOPE ASSISTED TECHNIQUE

21. ACCURED FIXATION ALL - INSIDE IN - OUT OUT - IN

22. FEMALE 38 YY 25 YEARS AGO ARTHROTOMIC MENISCECTOMY LATERAL COMPARTMENT - PAIN - SWELLING BARMAID - STANDING ALL DAY NORMAL AXIS AND STABILITY KNEE

24. Leisure sport activities, after 12 months after 12 months

30. LYSHOLM K.O.O.S. PRE-OP POST-OP 89 (43-95) 45 (11-70) ADL ACTIVITIES OF DAILY LIFE 84.5 Sport/Rec SPORT ACTIVITIES SCALE 50.5

32. 1 aa.MM / ML 4 aa. ML

33. 3 aa. MM

35. FALLIMENTI

40. THANK YOU [email_address]