Meniscal allograft transplantation (MAT) may offer an attractive altative to restore the normal biomechanical structure of knees.The mean early failure rate (≤2 years) of MAT is approximately 10％.1-3 A successful outcome of MAT depends on the ligamentous stability of knee,limb alignment,graft types,and graft fixation methods.4,5 Graft fixations include the meniscal homs and the peripheral rim.Techniques for fixation of the peripheral rim include sutures or a meniscal repair device such as FasT-Fix (Smith & Nephew Inc,Andover,MA,USA).Here we present an unusual case of early graft failure using FasT-Fix sutured to the peripheral rim of the graft.