Results support physical therapy or arthroscopic partial meniscectomy in degenerative knees

Arthroscopic partial meniscectomy was as effective as physical therapy in patients with degenerative knees and a confirmed meniscal tear that was non-obstructive, according to results of a multicenter study presented at the EFORT Annual Congress.

At the meeting, Victor A. van de Graaf, MD, Rudolf W. Poolman, MD, PhD, and colleagues at OLVG Ziekenhuis in Amsterdam received the EFORT Gold Orthopedics Free Paper Award, which designated their paper as the best one in the orthopedic category at the congress.

Participants in the study, which was conducted at six hospitals in the Netherlands, were consented and then randomized 1:1 to either arthroscopic partial meniscectomy (APM) or physical therapy (PT). They were also stratified by age into a group of patients aged 45 to 57 years and a group aged 58 to 70 years.

The mean improvement in the IKDC score from baseline to the 24-month follow-up was the primary outcome, results of which were more favorable for the APM group.

Full story at Healio

Common knee surgery brings little or no benefit to older patients, study shows

A new Medicare records study by Johns Hopkins researchers has added to mounting evidence that a common surgery designed to remove damaged, worn ends of the thin rubbery cartilage in the knee joint brings little or no benefit to people over the age of 65.

The operation, called arthroscopic partial meniscectomy (APM), accounted for an estimated two-thirds of all orthopedic knee arthroscopy procedures in older patients in 2016, the researchers say.

A report on the study’s findings, published Feb. 28 in JAMA Surgery, highlights the vast number of avoidable operations of all types that are performed and how much the United States spends on low-value care, the researchers say.

Full story at News Medical