Resumen de esta Conferencia Magistral: Long term data on the clinical outcome and the fate of the meniscus allograft after transplantation are scarce. In this study we present the clinical, radiological and MRI outcome of the meniscus graft and the articular cartilage after forty-two meniscus allograft transplantations in 41 patients with a minimum follow-up of 10 years. Long-term results after viable meniscus allograft transplantation are encouraging in terms of pain relief and improvement of function. Despite this significant improvement, substantial disability and symptoms were present in all investigated subgroups. Chondroprotective effects remain to be determined although progression of further cartilage degeneration or joint space narrowing was observed in a number of cases.