• About
  • Masthead
  • License Content
  • Advertise
  • Submit Press Release
  • RSS/Email List
  • 2MM Podcast
  • Write for us
  • Contact Us
2 Minute Medicine
No Result
View All Result

No products in the cart.

SUBSCRIBE
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
2 Minute Medicine
  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan+
  • Classics™+
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
SUBSCRIBE
2 Minute Medicine
Subscribe
Home All Specialties Chronic Disease

Partial meniscectomy not superior to sham surgery for meniscal tear

bys25qthea
December 26, 2013
in Chronic Disease, Surgery
Reading Time: 2 mins read
0
Share on FacebookShare on Twitter

Image: PD 

1. Patients who underwent arthroscopic partial meniscectomy did not have significant improvement in outcomes when compared to those who underwent a sham surgery. 

2. There was no significant difference between groups in the number of patients requiring subsequent knee surgery or in the occurrence of serious adverse events. 

Evidence Rating Level: 1 (Excellent) 

Study Rundown: Meniscal tears are a common knee injury and are often treated with arthroscopic medial meniscectomy. Although it is frequently performed, there is limited evidence from clinical trials to support the efficacy of this procedure. This multicentre, randomized, controlled trial including patients with degenerative medial meniscus tears found no significant difference in outcomes between arthroscopic partial meniscectomy and a sham surgical procedure. This suggests that patients may be undergoing unnecessary treatment and incurring excess cost to the health care system. The strength of this study lies in the design, which included blinding of patients, data collectors, and data analyzers, facilitated by the use of a sham surgery. It has been suggested that patients undergoing arthroscopic partial meniscectomy may be at a higher risk of developing osteoarthritis. Untreated tears are also at risk of developing into osteoarthritis. Prolonged follow-up will be required in order to assess these long-term outcomes.

Click to read the study, published today in NEJM

RELATED REPORTS

Meniscal allograft transplantation may improve knee function

2 Minute Medicine Rewind December 23-30, 2013

Physical therapy equal to surgery for symptomatic meniscal tears

Relevant Reading: Surgery versus physical therapy for a meniscal tear and osteoarthritis

In-Depth [randomized, controlled study]: This multicentre, double-blind, randomized, controlled trial assigned 146 patients with symptoms of a degenerative medial meniscal tear and without signs of osteoarthritis to undergo athroscopic partial meniscectomy or a sham surgery. The primary outcomes were the changes from baseline to 12 months in the Lysholm knee score, the Western Ontario Meniscal Evaluation Tool (WOMET) score, and knee pain following exercise assessed on a scale from 0 (no pain) to 10 (extreme pain). The Lysholm and WOMET scores both range from 0 to 100, with 0 indicating severe symptoms and 100 indicating no symptoms. Improvements in the three outcome measures were observed in both groups at 12 months; however, no significant between-group differences were observed. The mean between-group difference in improvement in the Lysholm knee score was -1.6 points (95% confidence interval [CI], -7.2 to 4.0), that in the WOMET score was -2.5 points (95% CI, -9.2 to 4.1), and that in knee pain after exercise was -0.1 points (95% CI, -0.9 to 0.7). There was no significant difference between groups in the need for subsequent knee surgery or in the occurrence of serious adverse events.

By Adrienne Cheung

©2012-2013 2minutemedicine.com. All rights reserved. No works may be reproduced without expressed written consent from 2minutemedicine.com. Disclaimer: We present factual information directly from peer reviewed medical journals. No post should be construed as medical advice and is not intended as such by the authors, editors, staff or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. 

Tags: meniscal tears
Previous Post

Low-lead exposure in childhood associated with worse cognitive performance [Pediatrics Classics Series]

Next Post

Erlotinib does not demonstrate increased survival in ovarian epithelial carcinomas

RelatedReports

Meniscal allograft transplantation may improve knee function
Chronic Disease

Meniscal allograft transplantation may improve knee function

June 20, 2014
Cardiology

2 Minute Medicine Rewind December 23-30, 2013

December 31, 2013
Physical therapy equal to surgery for symptomatic meniscal tears
Chronic Disease

Physical therapy equal to surgery for symptomatic meniscal tears

March 29, 2013
Next Post
Erlotinib does not demonstrate increased survival in ovarian epithelial carcinomas

Erlotinib does not demonstrate increased survival in ovarian epithelial carcinomas

Soaring rates of peripheral artery disease, now over 200 million cases worldwide

Elderly anemic patients at higher risk of postoperative mortality after vascular procedures

Classics Series, Landmark Trials in Medicine

MMR vaccine not associated with autism [Pediatrics Classics Series]

2 Minute Medicine® is an award winning, physician-run, expert medical media company. Our content is curated, written and edited by practicing health professionals who have clinical and scientific expertise in their field of reporting. Our editorial management team is comprised of highly-trained MD physicians. Join numerous brands, companies, and hospitals who trust our licensed content.

Recent Reports

  • Time-restricted eating does not confer changes in sleep, mood, or quality of life
  • Commonly cited medication triggers may not increase risk of microscopic colitis among older adults
  • Ablation may reduce stroke risk, death, heart failure hospitalization in patients with atrial fibrillation
License Content
Terms of Use | Disclaimer
Cookie Policy
Privacy Statement (EU)
Disclaimer

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.

  • Specialties
    • All Specialties, All Recent Reports
    • Cardiology
    • Chronic Disease
    • Dermatology
    • Emergency
    • Endocrinology
    • Gastroenterology
    • Imaging and Intervention
    • Infectious Disease
    • Nephrology
    • Neurology
    • Obstetrics
    • Oncology
    • Ophthalmology
    • Pediatrics
    • Pharma
    • Preclinical
    • Psychiatry
    • Public Health
    • Pulmonology
    • Rheumatology
    • Surgery
  • AI Roundup
  • Pharma
  • The Scan
  • Classics™
    • 2MM+ Online Access
    • Paperback and Ebook
  • Rewinds
  • Visual
  • Podcasts
  • Partners
    • License Content
    • Submit Press Release
    • Advertise with Us
  • Account
    • Subscribe
    • Sign-in
    • My account
No Result
View All Result

© 2021 2 Minute Medicine, Inc. - Physician-written medical news.