No benefit of surgery over physiotherapy for meniscal tears in adults with knee osteoarthritis
This section features a recent randomised controlled trial that is indexed on PEDro, the Physiotherapy Evidence Database (http://www.pedro.org.au). PEDro is a free, web-based database of evidence relevant to physiotherapy. - - ▸ Surgery versus physical therapy for meniscal tear and osteoarthritis....
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| Main Authors: | , |
|---|---|
| Format: | Article (Journal) |
| Language: | English |
| Published: |
14 March 2014
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| In: |
British journal of sports medicine
Year: 2014, Volume: 48, Issue: 9, Pages: 797-798 |
| ISSN: | 1473-0480 |
| DOI: | 10.1136/bjsports-2014-093578 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1136/bjsports-2014-093578 Verlag, lizenzpflichtig, Volltext: https://bjsm.bmj.com/content/48/9/797 |
| Author Notes: | Steven J Kamper, Nicholas Henschke |
MARC
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| 520 | |a This section features a recent randomised controlled trial that is indexed on PEDro, the Physiotherapy Evidence Database (http://www.pedro.org.au). PEDro is a free, web-based database of evidence relevant to physiotherapy. - - ▸ Surgery versus physical therapy for meniscal tear and osteoarthritis. New Engl J Med 2013;368:1675-84. - - Many people with osteoarthritis (OA) of the knee have damage to the meniscus,1 which is commonly treated by surgical excision of the damaged fragment; a procedure known as partial meniscectomy. However, it is not clear whether surgery of symptomatic meniscal tears improves pain and function in people with knee OA compared to conservative treatment. - - To assess whether adding arthroscopic meniscectomy to physiotherapy leads to greater improvements in pain and function than physiotherapy alone in older people with mild-to-moderate OA of the knee and a defined meniscus tear. - - Participants were recruited from tertiary referral centres in the USA. Patients over 45 years old with knee OA who reported symptoms consistent with a meniscus tear that had persisted for more than 1 month were eligible. Meniscus pathology and OA were confirmed by MRI. Clinical symptoms of a meniscus tear included at least one of the following: clicking, catching, popping, giving way, pain with pivot or torque, pain … | ||
| 650 | 4 | |a Arthroscopic Surgery | |
| 650 | 4 | |a Intervention effectiveness | |
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