Functional improvement after arthroscopic meniscectomy in patients with degenerative versus traumatic meniscal lesions

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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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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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Patient reported outcomes in patients undergoing arthroscopic partial meniscectomy for traumatic or degenerative meniscal tears: comparative prospective cohort study

OBJECTIVES  To compare patient reported outcomes from before surgery to 52 weeks after surgery between individuals undergoing arthroscopic partial meniscectomy for traumatic meniscal tears and those for degenerative meniscal tears. DESIGN  Comparative prospective cohort study. SETTING  Four public orthopaedic departments in the Region of Southern Denmark. Participants were recruited between...

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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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Risk factors for meniscectomy after meniscal repair.

BACKGROUND Previous research suggests that a substantial percentage of meniscal repairs fail, resulting in a subsequent meniscectomy. Risk factors for failure have been investigated using small cohorts, providing ambiguous results. PURPOSE To measure the frequency of and elucidate risk factors for subsequent meniscectomies after meniscal repair using a large study population from multiple sur...

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ژورنال

عنوان ژورنال: Annals of Physical and Rehabilitation Medicine

سال: 2014

ISSN: 1877-0657

DOI: 10.1016/j.rehab.2014.03.1003