Operation to repair degenerative meniscal tears no better than sham surgery

Source:  The New England Journal of Medicine 2013, 369(26), 2515-24

Follow this link for abstract

Date of publication:  26 December 2013

Publication type:  Journal article

In a nutshell:  A blinded randomised trial was carried out in Finland involving patients with degenerative meniscal tears and knee pain.  Patients either underwent keyhole surgery to partially remove the damaged meniscus or underwent a sham procedure.  Both groups reported similar satisfaction rates and reduction in pain.  Based on these results,the current line of treatment according to which patients with knee pain attributed to a degenerative meniscus tear are treated with partial removal of the meniscus should be questioned.  It seems clear that instead of surgery, the treatment of such patients should hinge on exercise and rehabilitation.  This is true for normal daily activities but may not be true for strenuous use or sports.

Length of publication:  10 pages

Some important notes:  You will need an NHS Athens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Dynamed


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