1. Meniscal Transplantation in Symptomatic Patients Less Than Fifty Years Old by Frank R. Noyes, Sue D. Barber-Westin, and Marc Rankin J Bone Joint Surg Am Volume 87(1 suppl 2):149-165 September 1, 2005 ©2005 by The Journal of Bone and Joint Surgery, Inc.

2. Site of the posterolateral incision for a lateral meniscal transplant. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

3. Incision site in the interval between the posterior edge of the iliotibial band (ITB) and the anterior edge of the biceps tendon. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

4. The interval between the lateral head of the gastrocnemius and the posterolateral aspect of the capsule is opened bluntly, just proximal to the fibular head, without entering the joint capsule proximally. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

5. Figs. 2-A through 2-E Tibial slot technique for lateral and medial meniscal transplantation, which is shown here for the lateral meniscus. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

6. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

7. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

8. The drill guide is used with a guide pin that has been marked with a laser to set the depth of a second guide pin. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

9. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

10. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

11. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

12. The lateral meniscal implant with the central bone bridge is ready to be placed into the tibial slot. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

13. Figs. 3-A, 3-B, and 3-C An alternative to the tibial slot technique. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

14. A tibial trough sizing guide is used to check the length and depth. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

15. The allograft sizing block confirms that the allograft bone bridge is of the desired width and depth. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

16. Cross section showing a popliteal retractor between the lateral head of the gastrocnemius and the posterior aspect of the capsule. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

17. Lateral meniscal graft in place and sutured. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

18. Figs. 6-A, 6-B, and 6-C The accessory posteromedial approach for a medial meniscal allograft procedure. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

19. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

20. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

21. Cross section showing the arthroscope, needle cannula, and popliteal retractor in place. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

22. Weight-bearing posteroanterior radiograph of a thirty-six-year-old woman, made six years after medial meniscal transplantation with a central bone-bridge technique, showing incorporation of the bone bridge into the host with preservation of the medial joint... Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

23. Two-tunnel technique for medial meniscal allograft transplantation. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.

24. Appearance of the final fixation of the medial meniscal transplant in the anterior and posterior tunnels and vertical divergent sutures. Frank R. Noyes et al. J Bone Joint Surg Am 2005;87:149- 165 ©2005 by The Journal of Bone and Joint Surgery, Inc.