This study assesses the biological characteristics of cell repopulatio
n and matrix remodeling in deep frozen meniscal allografts after total
meniscectomy and allograft transplantation. Thirty-two mature New Zea
land White rabbits were operated on, and the allografts were assessed
at 12 and 26 weeks postsurgery. Before transplantation, fresh medial m
enisci were placed into liquid nitrogen to kill all intrinsic cells. F
rozen meniscal allografts showed collagen remodeling coincident with r
evascularization and cellular repopulation. Biochemical characterizati
on showed active collagen remodeling of the allografts at 12 and 26 we
eks, In situ hybridization showed that expression of types I and III p
rocollagen mRNAs were increased at 12 weeks, especially near the regio
n of the synovial capsule. At 26 weeks after transplantation, the patt
ern of collagen-type expression progressed toward normal; that is, typ
e I procollagen mRNA expression was prominent, whereas only a small am
ount of type III procollagen mRNA was observed. These data indicate th
e adaptation of the repopulating cells from the host to the frozen all
ograft at 26 weeks after transplantation.