New York State Medical Treatment Guidelines for Meniscal Allograft Transplantation Exclusion Criteria in workers compensation patients

The guidelines formulated by the New York State Workers Compensation Board are aimed at providing direction for the treatment of Meniscal Allograft Transplantation. Their purpose is to aid physicians, podiatrists, and healthcare professionals in determining the most suitable treatment for this condition.

Healthcare professionals dealing with meniscal allograft transplantation can rely on the Workers Compensation Board’s guidelines to make well-informed decisions regarding the optimal level of care for their patients.

It is essential to underscore that these guidelines are not intended to replace clinical judgment or professional expertise. The final decision regarding care should be a collaborative process involving the patient and their healthcare provider.

Meniscal Allograft Transplantation

Not Recommended – in any of the following circumstances:
a) Mild to severe localized or diffuse arthritic condition that appears on standing x-ray as joint space narrowing, osteophytes or changes in the underlying bone.
b) Articular cartilage in the affected compartment demonstrates a chondrosis classified by the Modified Outerbridge Scale as Grade III that has not undergone debridement; Grade III with debridement that has not produced an articular surface that can maintain the integrity of the transplanted meniscus; or Grade IV.


Modified Outerbridge Classification
I Articular cartilage softening
II Chondral fissures or fibrillation < 1.25 cm in diameter
III Chondral fibrillation > 1.25 cm in diameter (“crabmeat changes”)
IV Exposed subchondral bone


Body Mass Index (BMI):
The equation for calculating the BMI = (Weight in pounds ÷ by height in inches divided ÷ by height in inches) x 703. For example, a person weighing 210 pounds and 6 feet tall would have a BMI of (210 pounds ÷ by 72 inches ÷ by 72 inches) x 703 = 28.5.


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