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Knee arthroscopic surgery is beneficial to middle-aged patients with meniscal symptoms: a prospective, randomised, single-blinded study
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.ORCID iD: 0000-0002-1929-0605
Linköping University, Department of Clinical and Experimental Medicine, Division of Clinical Sciences. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Orthopaedics in Linköping.
Linköping University, Department of Medical and Health Sciences, Division of Physiotherapy. Linköping University, Faculty of Health Sciences.
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2014 (English)In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 22, no 11, 1808-1816 p.Article in journal (Refereed) Published
Abstract [en]

Objective: There is no evidence that a knee arthroscopy is more beneficial to middle-aged patients with meniscal symptoms compared to other treatments. This randomised controlled trial aimed to determine whether an arthroscopic intervention combined with a structured exercise programme would provide more benefit than a structured exercise programme alone for middle-aged patients with meniscal symptoms that have undergone physiotherapy. Method: 150 out of 179 eligible patients, aged 45 to 64 (mean: 54 +/- 5), symptom duration more than 3 months and standing X-ray with Ahlback grade 0, were randomised to: (1) a physiotherapy appointment within 2 weeks of inclusion that included instructions for a 3-month exercise programme (non-surgery group); or (2) the same as (1) plus, within 4 weeks of inclusion, knee arthroscopy for resection of any significant meniscal injuries (surgery group). The primary outcome was change in pain at 12 months, assessed with the Knee Injury and Osteoarthritis Outcome Score (KOOSPAIN). Results: In the Intention-To-Treat analysis, pain at 12 months was significantly lower in the surgery than in the non-surgery group. The change in KOOSPAIN was significantly larger in the surgery than in the non-surgery group (between-group difference was 10.6 points of change; 95% CI: 3.4 to 17.7, P = 0.004). The As-Treated analysis results were consistent with the Intention-To-Treat analysis results. Conclusion: Middle-aged patients with meniscal symptoms may benefit from arthroscopic surgery in addition to a structured exercise programme. Patients age or symptom history (i.e., mechanical symptoms or acute onset of symptoms) didnt affect the outcome.

Place, publisher, year, edition, pages
Elsevier, 2014. Vol. 22, no 11, 1808-1816 p.
Keyword [en]
Knee arthroscopy; Menisci; Meniscectomy
National Category
Clinical Medicine Orthopedics Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-112629DOI: 10.1016/j.joca.2014.07.017ISI: 000344186000006PubMedID: 25086401OAI: oai:DiVA.org:liu-112629DiVA: diva2:769433
Available from: 2014-12-08 Created: 2014-12-05 Last updated: 2017-12-05Bibliographically approved

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Gauffin, HåkanTagesson (Sonesson), SofiMeunier, AndreasMagnusson, HenrikKvist, Joanna

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Gauffin, HåkanTagesson (Sonesson), SofiMeunier, AndreasMagnusson, HenrikKvist, Joanna
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Division of Clinical SciencesFaculty of Health SciencesDepartment of Orthopaedics in LinköpingDivision of Physiotherapy
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Osteoarthritis and Cartilage
Clinical MedicineOrthopedicsHealth Sciences

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