Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear

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Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear.

BACKGROUND Arthroscopic partial meniscectomy is one of the most common orthopedic procedures, yet rigorous evidence of its efficacy is lacking. METHODS We conducted a multicenter, randomized, double-blind, sham-controlled trial in 146 patients 35 to 65 years of age who had knee symptoms consistent with a degenerative medial meniscus tear and no knee osteoarthritis. Patients were randomly assi...

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Arthroscopic partial meniscectomy for degenerative meniscal tear.

To the Editor: Previous studies have suggested that partial meniscectomy has little benefit in patients with advanced osteoarthritis1,2 but some benefit in those with mild-to-moderate osteoarthritis.3 Sihvonen and colleagues (Dec. 26 issue)4 attempted to assess the benefit of partial meniscectomy in patients without osteoarthritis. However, although the authors excluded patients with radiograph...

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Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up

OBJECTIVE  To determine if exercise therapy is superior to arthroscopic partial meniscectomy for knee function in middle aged patients with degenerative meniscal tears. DESIGN  Randomised controlled superiority trial. SETTING  Orthopaedic departments at two public hospitals and two physiotherapy clinics in Norway. PARTICIPANTS  140 adults, mean age 49.5 years (range 35.7-59.9), with degen...

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Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial

OBJECTIVE To assess if arthroscopic partial meniscectomy (APM) is superior to placebo surgery in the treatment of patients with degenerative tear of the medial meniscus. METHODS In this multicentre, randomised, participant-blinded and outcome assessor-blinded, placebo-surgery controlled trial, 146 adults, aged 35-65 years, with knee symptoms consistent with degenerative medial meniscus tear a...

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Does arthroscopic knee surgery work?

A recent randomized trial from the Finnish Degenerative Meniscal Lesion Study Group was published in the New England Journal of Medicine and attempted to determine the efficacy of partial meniscectomy without osteoarthritis. Patients were randomized to either arthroscopic partial meniscectomy or sham surgery. The authors concluded that the clinical outcomes after arthroscopic partial meniscecto...

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ژورنال

عنوان ژورنال: New England Journal of Medicine

سال: 2013

ISSN: 0028-4793,1533-4406

DOI: 10.1056/nejmoa1305189