Surgery versus Physical Therapy for a Meniscal Tear and Osteoarthritis
نویسندگان
چکیده
Jeffrey N. Katz, M.D., Robert H. Brophy, M.D., Christine E. Chaisson, M.P.H., Leigh de Chaves, P.T., O.C.S., Brian J. Cole, M.D., M.B.A., Diane L. Dahm, M.D., Laurel A. Donnell-Fink, M.P.H., Ali Guermazi, M.D., Ph.D., Amanda K. Haas, M.A., Morgan H. Jones, M.D., M.P.H., Bruce A. Levy, M.D., Lisa A. Mandl, M.D., M.P.H., Scott D. Martin, M.D., Robert G. Marx, M.D., Anthony Miniaci, M.D., Matthew J. Matava, M.D., Joseph Palmisano, M.P.H., Emily K. Reinke, Ph.D., Brian E. Richardson, P.T., M.S., S.C.S., C.S.C.S., Benjamin N. Rome, B.A., Clare E. Safran-Norton, P.T., Ph.D., O.C.S., Debra J. Skoniecki, M.S.N., A.N.P., Daniel H. Solomon, M.D., M.P.H., Matthew V. Smith, M.D., Kurt P. Spindler, M.D., Michael J. Stuart, M.D., John Wright, M.D., Rick W. Wright, M.D., and Elena Losina, Ph.D.
منابع مشابه
Surgery versus physical therapy for meniscal tear and osteoarthritis.
BACKGROUND Whether arthroscopic partial meniscectomy for symptomatic patients with a meniscal tear and knee osteoarthritis results in better functional outcomes than nonoperative therapy is uncertain. METHODS We conducted a multicenter, randomized, controlled trial involving symptomatic patients 45 years of age or older with a meniscal tear and evidence of mild-to-moderate osteoarthritis on i...
متن کاملExercise 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...
متن کاملPredictors and Outcomes of Crossover to Surgery from Physical Therapy for Meniscal Tear and Osteoarthritis
Background: Arthroscopic partial meniscectomy (APM) combined with physical therapy (PT) have yielded pain relief similar to that provided by PT alone in randomized trials of subjects with a degenerative meniscal tear. However, many patients randomized to PT received APM before assessment of the primary outcome. We sought to identify factors associated with crossing over to APM and to compare pa...
متن کاملPredictors and Outcomes of Crossover to Surgery from Physical Therapy for Meniscal Tear and Osteoarthritis: A Randomized Trial Comparing Physical Therapy and Surgery.
BACKGROUND Arthroscopic partial meniscectomy (APM) combined with physical therapy (PT) have yielded pain relief similar to that provided by PT alone in randomized trials of subjects with a degenerative meniscal tear. However, many patients randomized to PT received APM before assessment of the primary outcome. We sought to identify factors associated with crossing over to APM and to compare pai...
متن کاملSigns of knee osteoarthritis common in 620 patients undergoing arthroscopic surgery for meniscal tear
Background and purpose - Recent evidence has questioned the effect of arthroscopic knee surgery for middle-aged and older patients with degenerative meniscal tears with or without concomitant radiographic knee osteoarthritis (OA). We investigated the prevalence of early or more established knee OA and patients' characteristics in a cohort of patients undergoing arthroscopic surgery for a menisc...
متن کاملMeniscal Roots: Current Concepts Review
Meniscal root tears are defined as radial tears located within 1 cm from the meniscal attachment or a bony rootavulsion. This injury is biomechanically comparable to a total meniscectomy, leading to compromised hoop stressesresulting in decreased tibiofemoral contact area and increased contact pressures in the involved compartment.These changes are detrimental to the articular cartilage and ult...
متن کامل