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Arthroscopic partial meniscectomy tied to radiographic knee osteoarthritis


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Journal
British Journal of Sports Medicine
Reuters Health - 24/09/2020 - Patients with a degenerative meniscus tear who get arthroscopic partial meniscectomy have similar five-year outcomes and increased risk of radiographic knee osteoarthritis as without surgery, a small study suggests. Researchers in Finland randomly assigned 146 adults with degenerative meniscus tear confirmed by magnetic resonance imaging (MRI) to receive either arthroscopic partial meniscectomy (APM) or diagnostic knee arthroscopy that served as a placebo surgery. After five years, there were no relevant differences between APM and placebo surgery for three primary outcomes reported by patients: Western Ontario Meniscal Evaluation Tool (WOMET) (adjusted absolute mean difference -1.7); Lysholm knee score (adjusted absolute mean difference -2.1); and knee joint pain following exercise (adjusted absolute mean difference -0.04). Five years after surgery 72% of the APM group and 60% of the placebo surgery group also had at least one g...


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