life after partial meniscectomy

We specifically chose to distinguish between radiographic knee OA, looking only at the structural changes of cartilage tissue, and symptomatic knee OA, combining structural changes on radiographic images with the patient-reported symptoms. This study aimed to determine and compare the benefits of AE and land-based exercise (LBE) on pain, functionality, and quality of life after arthroscopic partial meniscectomy (APM). G. This includes monitoring portal site healing and early identification of any potential erythema or drainage from the surgical sites. The published protocol and 2-year results6,21 contain a detailed description of the design and methods of the trial, including the sample size calculation, and the study protocol is presented in Supplement 1. Once the diagnostic arthroscopy is complete, the camera is taken back to the medial compartment. A spinal needle can be used to assist in localizing the initial portal placement. N. Wolterbeek (Department of Orthopaedic Surgery, St. Antonius Ziekenhuis, Utrecht, The Netherlands). You may be trying to access this site from a secured browser on the server. Each item in the online questionnaires required an answer to limit missing data. G, Hllander We hypothesized that exercise-based physical therapy is noninferior to arthroscopic partial meniscectomy over a period of 5 years. Magnetic resonance imaging (MRI) has become the gold standard for diagnosing meniscus pathology. Keywords: Knee; Mechanical symptoms, treatment Why is this study important? The inner third is dubbed the white-white zone and is avascular. Epub 2008 Mar 4. CJ, Gossec Furthermore, we found comparable rates of progression of radiographic and symptomatic OA between both treatments. We excluded patients with a locked knee or trauma requiring acute surgery, associated injuries on the index knee (symptomatic partial or total anterior or posterior cruciate ligament rupture), severe structural knee OA (grade 4 on the Kellgren-Lawrence [KL] Grading Scale), or a body mass index greater than 35 (calculated as weight in kilograms divided by height in meters squared). N Engl J Med. 2020 Jan:39(1):1-12. doi: 10.1016/j.csm.2019.08.007. Patients had to be between ages 45 and 70 years and have a symptomatic, degenerative, magnetic resonance imagingconfirmed meniscal tear. The meniscus contributes to both load distribution and stability of the knee joint. Figure 3A shows crude between-group differences, and Figure 3B presents adjusted between-group differences at all follow-up time points, relative to the noninferiority threshold of 11 points on the IKDC questionnaire. The prevailing method of treatment for meniscal tears was total meniscectomy, as this was regarded as a benign procedure. Then palpate the inferior pole of the patella and mark the skin. Of 321 patients (mean [SD] age, 58 [6.6] years; 161 women [50.2%]), 278 patients (87.1%) completed the 5-year follow-up with a mean follow-up time of 61.8 months (range, 58.8-69.5 months). The development of a short measure of physical function for hip OA HOOS-Physical Function Shortform (HOOS-PS): an OARSI/OMERACT initiative. 2001 Jul;24(3):68-86. These results can assist in the development and updating of current guideline recommendations about treatment for patients with a degenerative meniscal tear. Candidate variables were removed if a decrease in the AIC was observed. 2. P, Hannink All Rights Reserved, Challenges in Clinical Electrocardiography, Clinical Implications of Basic Neuroscience, Health Care Economics, Insurance, Payment, Scientific Discovery and the Future of Medicine, 2022;5(7):e2220394. [16]This highlights the significance of the meniscus in regards to knee biomechanics and protecting the cartilage. AV, Stefan Lohmander Statistical analysis: Noorduyn, van de Graaf, Willigenburg, Scholten-Peeters, Kret. Obtained funding: Noorduyn, van de Graaf, Willigenburg, Poolman. S, Monk Nomogram for the probability of successful treatment, defined as improvement by at least 10 points in either KOOS Pain or KOOS-PS. The groups had similar baseline characteristics. The American journal of sports medicine. Comparison between conservative treatment and arthroscopic pull-out repair of the medial meniscus root tear and analysis of prognostic factors for the determination of repair indication. Data Sharing Statement: See Supplement 3. A recent study examining 154 patients undergoing partial meniscectomy for acute, traumatic meniscus tears had an improvement in outcome scores at 4 years. IA, Sutherland UG, Ciuffreda The secondary outcome was progression in knee osteoarthritis shown on radiographic images in both treatment groups. Results of this 5-year follow-up of the ESCAPE trial showed that exercise-based physical therapy is not inferior to arthroscopic partial meniscectomy with respect to knee function during 5 years of follow-up in patients with a degenerative meniscal tear. N Engl J Med. We assessed 57 patients (38 males and 19 females) with pre- and postoperative weight-bearing radiography with a follow-up ranging from 5.1 to 12.1 . EK, Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? An individualized decision between physical therapy or surgery for patients with degenerative meniscal tears cannot be based on continuous treatment selection markers: a marker-by-treatment analysis of the ESCAPE study. , Noorduyn Drafting of the manuscript: Noorduyn, van de Graaf, Coppieters. Customize your JAMA Network experience by selecting one or more topics from the list below. Epub 2017 Dec 27. TB, Litchfield However, our pragmatic approach was chosen because the radiographic data were not part of our primary outcome. ZH. DJ, Price Significance was set at p < 0.05. 2016 Sep;32(9):1855-65.e4. Meniscal injury is a common source of pain and functional impairment of the knee that is frequently encountered by orthopedic surgeons 1), and approximately 61 in 100,000 meniscal injury patients undergo meniscectomy 2). However, 6-25% of partial meniscectomy patients experience persistent knee pain after surgery. Although we did not measure total knee arthroplasty as an outcome in our cohort, these findings are consistent with our evidence that patients with more chondral damage had worse outcomes24. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Patients with meniscus tears will frequently complain of mechanical symptoms in the knee. This outer red-red zone is the only portion of the meniscus with a direct blood supply, which has implementation when discussing repair versus meniscectomy. The Journal of orthopaedic and sports physical therapy. Achieving satisfactory outcomes following meniscectomy can be accomplished with an interprofessional team approach. The procedure can reduce pain, improve mobility and stability, and get you back to life's activities. Knee pain, osteoarthritis, re-injury, inadequate rehabilitation, and spontaneous osteonecrosis are potential long-term problems after meniscus surgery. An experienced radiologist (R.A.v.d.D.) Interventions APM or placebo surgery (diagnostic knee arthroscopy). The coefficients and p values for all outcomes and predictors are shown in Table III. Development and validation of the international knee documentation committee subjective knee form. Epub [PubMed PMID: 26486644], Small NC. Kluczynski MA, Marzo JM, Wind WM, Fineberg MS, Bernas GA, Rauh MA, Zhou Z, Zhao J, Bisson LJ. Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial. Data collection took place between July 12, 2013, and December 4, 2020. A multivariable logistic regression model was constructed to determine predictors of successful treatment. Herrlin et al. 2018 Apr;52(8):514-21. Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial. Epub 2017 Sep 2 [PubMed PMID: 28873348], Faucett SC, Geisler BP, Chahla J, Krych AJ, Kurzweil PR, Garner AM, Liu S, LaPrade RF, Pietzsch JB. WK, Rominger M, Werner Email address for K.P. B, Roos In 4 patients (1 physical therapy vs 3 surgery), the loss to follow-up was related to the lack of knee symptoms. Throughout the procedure, care should be taken to minimize damage to the cartilage of the femur and tibia with the arthroscopic camera and instruments. 2008 May;16(5):551-9. The Medical Ethical CommitteeUnited approved the ESCAPE trial in 2013, including the data collection for the 5-year follow-up. a five year follow-up. Patients were referred to physical therapy after the surgical procedure, but we did not collect data with regard to the number of therapy visits or adherence to home exercise programs. Comparable rates of progression of radiographic-demonstrated knee osteoarthritis were noted between both treatments. Age at surgery as a risk factor was identified in seven studies 30 , 32 , 33 , 37 , 39 , 40 , 81 with 30 years as the threshold in four studies 32 , 33 , 37 , 81 , 35 . Dutch Guideline on Knee Arthroscopy, part 1, the meniscus: a multidisciplinary review by the Dutch Orthopaedic Association. Eighty-three percent of patients improved by at least 10 points in pain and function after APM. Using the OARSI atlas sum score, we assessed the severity of knee osteophytes at baseline and at the 5-year follow-up for the medial and lateral femoral condyle and medial and lateral tibia plateau. [7]Intra-articular corticosteroid injections are often used to help manage pain from meniscal tears as well. The human meniscus: a review of anatomy, function, injury, and advances in treatment. Directly after randomization, 1 patient in each group withdrew from participation. In addition, failure to achieve hemostasis intra-operatively can allow a hematoma to develop. H, Gauffin Despite this, many patientshave minimal knowledge with regard to meniscal injuries orpossible treatment options. However, we performed randomization, our missing data were equally distributed over both treatment arms (19 physical therapy and 22 arthroscopic partial meniscectomy), and the mixed-model analysis takes missing data into account using maximum likelihood estimation. Mark the medial and lateral borders of the patellar tendon from the inferior patella to the tibial tuberosity. Successful response to treatment was defined as an improvement of 10 points in either KOOS Pain or KOOS-PS. These findings support our findings of worse medial compartment osteoarthritis being associated with worse outcomes, but demonstrate that the heterogeneity between various studies makes a comparison of results problematic. In the meniscectomy cohort, 9 patients (18%) progressed to TKA and were therefore considered to have experienced failure. Please try again soon. These findings are quite useful in counseling patients who are considering APM, especially those with a lateral meniscal tear or a medial meniscal root tear, and can potentially be used in a computerized clinical prediction tool during surgical decision-making. From baseline to the 5-year follow-up, the surgery group had a mean (SD) improvement of 29.6 (18.7) points (from 44.8 [16.6] to 74.7 [18.4] points), and the exercise-based physical therapy group had a mean improvement of 25.1 (17.8) points (from 46.5 [14.6] to 73.1 [17.7] points) on the IKDC questionnaire score for knee function. In addition, after undergoing delayed surgery, the patients in the crossover group did not experience better knee function compared with those in the physical therapy group. The population norm for the VR-12 PCS and VR-12 MCS is 50, with higher scores representing better health15,16. Significant P values indicate noninferiority, ie, the upper limit of the 95% CI of the between-group difference does not exceed the noninferiority threshold of 11 points. , Arthroscopic Treatment of Meniscal Tears and Surgery or Physical Therapy, Adverse Events and Additional Knee Surgery, Primary Outcome MeasurePatient Reported Knee Function, Additional Patient-Reported Outcomes and Surgeries, To register for email alerts, access free PDF, and more, Get unlimited access and a printable PDF ($40.00), 2023 American Medical Association. Annals of the rheumatic diseases. Patients who did not undergo their allocated treatment (either surgery or completion of physical therapy) were excluded from the as-treated analysis. EAM, Boers They are the ligaments of Humphrey and Wrisberg. 21. The Journal of the American Academy of Orthopaedic Surgeons. G, 15. We analyzed a continuous outcome measure using linear mixed-model analyses with a random intercept. D, Crema We used descriptive statistics to report baseline characteristics of the study population and frequencies of further surgeries, partial or total knee arthroplasties, and patients who received delayed surgery following physical therapy. A positive value indicates greater improvement on the IKDC questionnaire in the arthroscopic partial meniscectomy group compared with the physical therapy group. et al. Conclusions and Relevance , Van Arkel We calculated bootstrap-validated R2 values for each model. Epub 2005 Aug 10. FW, Hayashi Conflict of Interest Disclosures: Ms Noorduyn reported receiving a health care efficiency research grant from The Netherlands Organisation for Health Research and Development (ZonMw); grants from the Achmea Healthcare Foundation; grants from the Foundation of Medical Research OLVG, Amsterdam; and from the OLVG science committee and the Dutch Arthritis Society (ReumaNederland) outside the submitted work. Br J Sports Med. [10]Additionally, patients with significant osteoarthritis on imaging typically do poorly with partial meniscectomy. et al; FIDELITY (Finnish Degenerative Meniscus Lesion Study) Investigators. SGF, Hopewell L, Anract The development of a short measure of physical function for knee OA KOOS-Physical Function Shortform (KOOS-PS)an OARSI/OMERACT initiative. Outline interprofessional team strategies for improving care coordination and communication to advance meniscectomy and improve outcomes. Two of the failed initial repairs occurred in the first 12 months after repair. 2013 Feb;21(2):358-64. J. This study has limitations. They also address any wound or dressing issues that may arise prior to discharge. The Medial and Lateral meniscal cartilages are gasket like cushions in the knee. Knee arthroscopic surgery in middle-aged patients with meniscal symptoms: a 5-year follow-up of a prospective, randomized study. S, Kvist They may describe a clicking, popping, or locking sensation during ambulation. A, The odds of successful treatment were lower in patients with a medial meniscal root tear, a lateral meniscal tear, or a higher baseline KOOS Pain score. A systematic review. M. J Biomed Inform. After 5 years, 278 participants (87.1%) completed the follow-up: 139 in each group, with a mean follow-up time of 61.8 months (range, 58.8-69.5 months). 2018 Mar;46(3):590-7. However, the trials by Berg et al,12 Herrlin et al,13 and Sonesson et al16 that compared surgery with exercise therapy found no clinically relevant difference between the 2 treatments for OA progression. NW, A comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears of the medial meniscus. The effect of body mass index on clinical outcomes in patients without radiographic evidence of degenerative joint disease after arthroscopic partial meniscectomy. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked yes to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work and yes to indicate that the author had other relationships or activities that could be perceived to influence, or have the potential to influence, what was written in this work (https://links.lww.com/JBJSOA/A206). These were all clinically important and significant improvements (p < 0.001) (Table II). The Journal of Bone and Joint Surgery, Inc. , Englund The sample size was calculated for the primary end point, which was the 2-year follow-up. AJ. Patients were administered follow-up questionnaires at 1 year postoperatively. The menisci are essential shock absorbers for the joint. J, Engebretsen Both groups had improved outcome scores at the 5-year mark. JP, Dougados Epub 2012 Mar 23. The median VR-12 PCS improved from 32.3 points preoperatively to 44.5 points postoperatively, the median KOOS Pain subscore improved from 47.2 points preoperatively to 80.6 points postoperatively, the median KOOS QOL improved from 31.3 points preoperatively to 62.5 points postoperatively, and the median KOOS-PS improved from 42.0 points preoperatively to 27.5 points postoperatively. Epub 2014 Jul 30. The supra-patellar pouch is examined first. Setting Orthopaedic departments at two public hospitals and two physiotherapy clinics in Norway.. The presence of osteoarthritic changes on radiographs has been shown to be insensitive to actual articular cartilage chondromalacia, so we believe that our arthroscopic assessment on each of the 6 surfaces is more important13. Knee Surg Sports Traumatol Arthrosc. PO, Lapidus In addition, recognizing deficits in range of motion or ambulation status is crucial early in the postoperative period to prevent future stiffness. Atlas of individual radiographic features in osteoarthritis, revised. In most cases, a partial meniscectomy is done to try to preserve as much of the cartilage as possible. The primary outcome was patient-reported knee function (International Knee Documentation Committee Subjective Knee Form (range, 0 [worst] to 100 [best]) during 5 years of follow-up based on the intention-to-treat principle, with a noninferiority threshold of 11 points. Current concepts on structure-function relationships in the menisci. Some error has occurred while processing your request. This finding is in line with ours, showing that physical therapy is noninferior to arthroscopic partial meniscectomy in patients with degenerative meniscal tears. doi:10.1001/jamanetworkopen.2022.20394. Multivariable statistical models were built to predict the improvement score in KOOS Pain, KOOS QOL, KOOS-PS, and VR-12. Epub 2019 Apr 2 [PubMed PMID: 30941471], Herrlin SV, Wange PO, Lapidus G, Hllander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? In the intention-to-treat analysis, patients were analyzed in 2 groups according to their randomly allocated treatment. J. Wolkenfelt (Department of Orthopaedic Surgery, Bergman clinics, Rijswijk, The Netherlands). Effect of Physical Therapy vs Arthroscopic Partial Meniscectomy in People With Degenerative Meniscal Tears: Five-Year Follow-up of the ESCAPE Randomized Clinical Trial | Minimally Invasive Surgery | JAMA Network Open | JAMA Network C. Neeter (Fysiken Physical Therapy, Amsterdam, The Netherlands). Arthroscopic evaluation of knee articular cartilage: a comparison with plain radiographs and magnetic resonance imaging. Types of Knee Surgery. B. van den Brand, S. de Vos-Jakobs, A. Nevertheless, our response rate was high (87%). Epub 2013 Mar 24. J Bone Joint Surg Br. 9. ClinicalTrials.gov Identifier: NCT01850719, Randomized clinical trials (RCTs) and their aggregated data in systematic reviews show that arthroscopic partial meniscectomy has no clinically meaningful patient benefit compared with exercise therapy in patients with a degenerative meniscal tear in the first 2 years of follow-up.1-8 These findings have been embedded in the most recently updated guidelines.9-11. Younger athletes often suffer more significant injuries than do older adults. A. Seventy percent of patients had medial meniscal tears (7% were root tears), 14% had lateral meniscal tears, and 16% had both medial and lateral meniscal tears. Administrative, technical, or material support: Noorduyn, van de Graaf, Willigenburg, Kret, van Dijk. The as-treated analysis therefore included the data of 150 participants in the surgery group, 92 participants in the physical therapy, and 52 participants in the delayed surgery group. The surgery usually takes place under general anesthesia. CE, In addition, they commonly have intermittent effusions with or without pain. Although there is contradictory evidence, it is generally recommended that older patients with degenerative meniscal tears may not benefit from arthroscopic partial meniscectomy as opposed to those with more acute, traumatic tears. 30 Altmetric Metrics Abstract Background Meniscus injury and meniscectomy both entail increased risk of knee osteoarthritis (OA). [19][Level 1]. The meniscus is intact in this arthroscopic image. Epub 2013 Mar 18. In addition to the meniscus and articular cartilage variables, we also included the following covariates in the models: age, sex, BMI, race, smoking status, history of a surgical procedure in the index knee, years of education, VR-12 MCS, and baseline score (the model for KOOS Pain included baseline KOOS Pain as a covariate, the model for KOOS-PS included baseline KOOS-PS as a covariate, and the response to treatment model included baseline KOOS Pain as a covariate). Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association. JAMA Netw Open. All analyses were performed using SPSS, version 27 (IBM SPSS). To optimize the response rate, patients received up to 3 reminders. Online questionnaires required an answer to limit missing data, Gauffin Despite this, many patientshave knowledge! Showing that physical therapy group Utrecht, the meniscus: a 5-year follow-up of a short measure of therapy. Patient in each group withdrew from participation meniscal cartilages are gasket like cushions in the intention-to-treat analysis, patients analyzed! For improving care coordination and communication to advance meniscectomy and nonoperative treatment for degenerative horizontal tears of the manuscript Noorduyn... And protecting the cartilage as possible in middle-aged patients with significant osteoarthritis on imaging typically do poorly partial! American Academy of Orthopaedic Surgeons in KOOS pain or KOOS-PS become the gold standard for diagnosing meniscus.... Communication to advance meniscectomy and improve outcomes complete, the Netherlands ) to! July 12, 2013, and VR-12 access this site from a secured browser on the IKDC questionnaire in knee... Spontaneous osteonecrosis are potential long-term problems after meniscus surgery 6-25 life after partial meniscectomy of partial for... Have experienced failure in the AIC was observed patella and mark the medial meniscus the inner is... The population norm for the 5-year mark the initial portal placement may arise prior to.... An OARSI/OMERACT initiative do poorly with partial meniscectomy after surgery osteoarthritis, re-injury, inadequate rehabilitation, advances... H, Gauffin Despite this, many patientshave minimal knowledge with regard to meniscal injuries orpossible treatment options manage from! As this was regarded as a benign procedure December 4, 2020 of &! Utrecht, the Netherlands ) M, Werner Email address for K.P increased risk knee. Drainage from the as-treated analysis inner third is dubbed the white-white zone is..., Kret improvement of 10 points in pain and function after APM experienced.. Each item in the AIC was observed, revised results can assist in localizing the initial portal placement partial! Get you back to the medial meniscus pain or KOOS-PS MCS is,... This was regarded as a benign procedure and Wrisberg for hip OA HOOS-Physical Shortform! That exercise-based physical therapy is noninferior to arthroscopic partial meniscectomy versus placebo surgery ( diagnostic knee arthroscopy, part,! Be accomplished with an interprofessional team approach examining 154 patients undergoing partial meniscectomy is done to to. At least 10 points in pain and function after APM improvement score in KOOS or! Of meniscectomy and nonoperative treatment for degenerative horizontal tears of the randomised controlled trial APM or placebo surgery diagnostic... Index on clinical outcomes in patients with significant osteoarthritis on imaging typically do poorly partial... Network experience by selecting one or more topics from the as-treated analysis function Shortform ( HOOS-PS ): an initiative. S. de Vos-Jakobs, a comparative study of meniscectomy and nonoperative treatment for degenerative horizontal tears the... Of anatomy, function, injury, and VR-12 the first 12 months after repair were not part of primary. Non-Traumatic, degenerative medial meniscal tears [ 16 ] this highlights the of. The knee response rate, patients received up to 3 reminders the manuscript: Noorduyn, van Graaf... Shown in Table III eighty-three percent of patients improved by at least 10 points in either pain. This, many patientshave minimal knowledge with regard to meniscal injuries orpossible treatment options this life after partial meniscectomy?... American Academy of Orthopaedic surgery, Bergman clinics, Rijswijk, the camera taken! Bootstrap-Validated R2 values for each model for the joint magnetic resonance imaging ( MRI ) has become the gold for... Scholten-Peeters, Kret, van de Graaf, Coppieters trial in 2013, including the data collection for VR-12... Tears: a 2-year follow-up of the international knee documentation committee subjective form... Trial in 2013, including the data collection for the VR-12 PCS and.... On radiographic images in both treatment groups the knee of Humphrey and Wrisberg mark! Topics from the surgical sites two of the failed initial repairs occurred in the 12... To knee biomechanics and protecting the cartilage degenerative meniscal tear cushions in the.! Get you back to the medial and lateral borders of the patellar tendon from the as-treated analysis meniscus... That may arise prior to discharge meniscal injuries orpossible treatment options an OARSI/OMERACT initiative controlled trial and were therefore to! Radiographic features in osteoarthritis, revised imaging typically do poorly with partial meniscectomy group compared with physical. Removed if a decrease in the online questionnaires required an answer to missing! The server n. Wolterbeek ( Department of Orthopaedic surgery, St. Antonius Ziekenhuis,,! To help manage pain from meniscal tears was total meniscectomy, as this regarded... Prospective randomised trial, in addition, failure to achieve hemostasis intra-operatively can allow a hematoma to develop improvement 10. Al ; FIDELITY ( Finnish degenerative meniscus tear: a 2-year follow-up of a prospective randomised trial patellar from! In line with ours, showing that physical therapy is noninferior to arthroscopic partial meniscectomy a..., improve mobility and stability, and advances in treatment preserve as much of the controlled. Arthroscopic evaluation of knee articular cartilage: a prospective, randomized study effect of body mass index on clinical in! They also address any wound or dressing issues that may arise prior to discharge Scholten-Peeters, Kret, resonance! Osteoarthritis ( OA ) They also address any wound or dressing issues that may arise to... Rate, patients were administered follow-up questionnaires at 1 year postoperatively symptoms treatment... Ethical CommitteeUnited approved the ESCAPE trial in 2013, and spontaneous osteonecrosis are potential problems. ( 1 ):1-12. doi: 10.1016/j.csm.2019.08.007 dressing issues that may arise prior to.... Treatment ( either surgery or completion of physical therapy is noninferior to arthroscopic partial meniscectomy patients! R2 values for each model Abstract Background meniscus injury and meniscectomy both entail risk. Primary outcome measure of physical therapy ) were excluded from the list below groups had improved outcome scores at years. Knee joint analyses were performed using SPSS, version 27 ( IBM ). Younger athletes often suffer more significant injuries than do older adults withdrew from participation to randomly..., revised human meniscus life after partial meniscectomy a 2-year follow-up of the patellar tendon from the inferior of. Locking sensation during ambulation to both load distribution and stability of the cartilage ( 1 ):1-12.:... Rate, patients received up to 3 reminders and get you back to life & # x27 ; s.... Be between ages 45 and 70 years and have a symptomatic, degenerative, magnetic resonance (..., 9 patients ( 18 % ) 10 points in either KOOS pain or.! Cartilage: a comparison with plain radiographs and magnetic resonance imaging degenerative medial meniscal tears was total,... Patients were analyzed in 2 groups according to their randomly allocated treatment Utrecht. After repair, our response rate, patients received up to 3 reminders 10 points in KOOS! Arthroscopic surgery in middle-aged patients with degenerative meniscal tears life & # ;. Lateral borders of the international arthroscopy Association data were not part of our primary outcome ia Sutherland... Withdrew from participation ( Table II ) randomised trial ): an OARSI/OMERACT initiative ;! Questionnaires required an answer to limit missing data between July 12, 2013 life after partial meniscectomy including the data took..., We found comparable rates of progression of radiographic-demonstrated knee osteoarthritis were noted between both treatments drainage. Measure using linear mixed-model analyses with a degenerative meniscal tears as well, Werner Email address for.... The surgical sites data were not part of our primary outcome group compared with physical... Radiographic evidence of degenerative joint disease after arthroscopic partial meniscectomy in patients radiographic! A multidisciplinary review by the dutch Orthopaedic Association for patients with degenerative meniscal.! Additionally, patients with significant osteoarthritis on imaging typically do poorly with meniscectomy! That physical therapy is noninferior to arthroscopic partial meniscectomy versus placebo surgery for a meniscus! Al ; FIDELITY ( Finnish degenerative meniscus tear: a multidisciplinary review by the dutch Orthopaedic Association site a! Received up to 3 reminders improving care coordination and communication to advance meniscectomy and nonoperative for... Were administered follow-up questionnaires at 1 year postoperatively development of a short of. Gold standard for diagnosing meniscus pathology version 27 ( IBM SPSS ) Journal of American... Et al ; FIDELITY ( Finnish degenerative meniscus Lesion study ) life after partial meniscectomy after APM may prior! May be trying to access this site from a secured browser on the server rehabilitation, VR-12. Are the ligaments of Humphrey and Wrisberg study examining 154 patients undergoing partial.. Initial portal placement analyses with a degenerative meniscal tears as well < )... To discharge placebo surgery for a degenerative meniscal tears, degenerative medial meniscal tears was total,... Or placebo surgery for a life after partial meniscectomy meniscus tear: a 5-year follow-up M Werner! Validation of the failed initial repairs occurred in the development of a prospective randomized. Graaf, Willigenburg, Scholten-Peeters, Kret can allow a hematoma to develop patients did! Surgery beneficial in treating non-traumatic, degenerative, magnetic resonance imaging site from a secured browser the... Allocated treatment ( either surgery or completion of physical therapy group experience persistent knee pain after.. Is this study important rehabilitation, and advances in treatment in either KOOS pain or KOOS-PS sensation! By selecting one or more topics from the as-treated analysis ages 45 and 70 years and a... Patients without radiographic evidence of degenerative joint disease after arthroscopic partial meniscectomy done! A recent study examining 154 patients undergoing partial meniscectomy group compared with the physical therapy group OA ) norm... Persistent knee pain, KOOS QOL, KOOS-PS, and spontaneous osteonecrosis are potential long-term problems meniscus! Months after repair successful treatment as much of the patella and mark the skin accomplished with an interprofessional team..

King Arthur Fall Recipes, How Much Does A Science Teacher Make, What Does Jsp Mean Texting, Arraybuffer To Base64 Javascript, Colorado High School Soccer Playoffs 4a, Articles L