Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial
- PMID: 17216272
- DOI: 10.1007/s00167-006-0243-2
Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial
Abstract
In this prospective randomised study two treatments after non-traumatic medial meniscal tear diagnosed with radiological examination and magnetic resonance imaging were compared; arthroscopic partial meniscectomy followed by supervised exercise or supervised exercise alone. The aim was to evaluate knee function and physical activity. Ninety patients (mean age 56 years) were evaluated using the Knee Injury and Osteoarthritis Outcome Score, the Lysholm Knee Scoring Scale, the Tegner Activity Scale and a Visual Analogue Scale for knee pain prior to the intervention, after 8 weeks of exercise and after 6 months. According to the outcome scores arthroscopic partial medial meniscectomy combined with exercise did not lead to greater improvement than exercise alone. After the intervention both groups reported decreased knee pain, improved knee function and a high satisfaction (P<0.0001). Forty-one per cent of the patients returned to their pre-injury activity level after 6 months. In conclusion, when evaluated with outcome scores, arthroscopic partial medial meniscectomy followed by supervised exercise was not superior to supervised exercise alone in terms of reduced knee pain, improved knee function and improved quality of life.
Similar articles
-
A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus.Am J Sports Med. 2013 Jul;41(7):1565-70. doi: 10.1177/0363546513488518. Epub 2013 May 23. Am J Sports Med. 2013. PMID: 23703915 Clinical Trial.
-
Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up.Knee Surg Sports Traumatol Arthrosc. 2013 Feb;21(2):358-64. doi: 10.1007/s00167-012-1960-3. Epub 2012 Mar 23. Knee Surg Sports Traumatol Arthrosc. 2013. PMID: 22437659 Clinical Trial.
-
Arthroscopic partial meniscectomy combined with medical exercise therapy versus isolated medical exercise therapy for degenerative meniscal tear: A meta-analysis of randomized controlled trials.Int J Surg. 2020 Jul;79:222-232. doi: 10.1016/j.ijsu.2020.05.035. Epub 2020 Jun 6. Int J Surg. 2020. PMID: 32522685 Review.
-
Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up.BMJ. 2016 Jul 20;354:i3740. doi: 10.1136/bmj.i3740. BMJ. 2016. PMID: 27440192 Free PMC article. Clinical Trial.
-
Radial tears of the posterior horn of the medial meniscus.Arthroscopy. 2004 Apr;20(4):373-8. doi: 10.1016/j.arthro.2004.01.004. Arthroscopy. 2004. PMID: 15067276 Review.
Cited by
-
Examining the Evidence Regarding Smoking and Patient Outcomes for Isolated Meniscus Pathology: A Comprehensive Systematic Review and Meta-Analysis.Life (Basel). 2024 Apr 30;14(5):584. doi: 10.3390/life14050584. Life (Basel). 2024. PMID: 38792605 Free PMC article. Review.
-
Placebo Control and Blinding in Randomized Trials of Procedural Interventions: A Systematic Review and Meta-Regression.JAMA Surg. 2024 Jul 1;159(7):776-790. doi: 10.1001/jamasurg.2024.0718. JAMA Surg. 2024. PMID: 38630462
-
Comparative, Controlled, Retrospective Study of Patient-Reported Outcomes After Meniscectomy With Adjunctive Use of Platelet-Rich Plasma or Amniotic Umbilical Cord Tissue.Ochsner J. 2024 Spring;24(1):6-13. doi: 10.31486/toj.23.0073. Ochsner J. 2024. PMID: 38510228 Free PMC article.
-
Top 15 musculoskeletal lesions in the aging recreational sporter: a pictorial review.Quant Imaging Med Surg. 2023 Nov 1;13(11):7552-7571. doi: 10.21037/qims-22-1294. Epub 2023 Apr 14. Quant Imaging Med Surg. 2023. PMID: 37969624 Free PMC article. Review.
-
Concentric Isokinetic Strengthening Program's Impact on Knee Biomechanical Parameters, Physical Performance and Quality of Life in Overweight/Obese Women with Chronic Meniscal Lesions.Healthcare (Basel). 2023 Jul 20;11(14):2079. doi: 10.3390/healthcare11142079. Healthcare (Basel). 2023. PMID: 37510520 Free PMC article.
References
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical