E11: Is surgery necessary for a torn meniscus?

As someone that has torn meniscus in both knees, torn an ACL in one knee, and has some joint degeneration Isaac knows very well how much it hurts and the outcomes of surgical procedures. Isaac shares his story of knee injuries, surgeries, and recovery.


Study 1: Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomized controlled trial (year of study 2017) Conclusions In this 2-year follow-up of patients without knee osteoarthritis but with symptoms of a degenerative medial meniscus tear, the outcomes after APM (arthroscopic partial meniscectomy) were no better than those after placebo surgery. No evidence could be found to support the prevailing ideas that patients with presence of mechanical symptoms or certain meniscus tear characteristics or those who have failed initial conservative treatment are more likely to benefit from APM. https://ard.bmj.com/content/77/2/188

Study 2: Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative Meniscal Tear (year 2013) CONCLUSIONS In this trial involving patients without knee osteoarthritis but with symptoms of a degenerative medial meniscus tear, the outcomes after arthroscopic partial meniscectomy were no better than those after a sham surgical procedure. (Funded by the Sigrid Juselius Foundation and others; ClinicalTrials.gov number, NCT00549172 . opens in new tab .) Link: https://www.nejm.org/doi/full/10.1056/nejmoa1305189

More References: Surgery for Torn Meniscus in the Knee is Often Unnecessary, Ineffective, Misdirected https://www.mdalert.com/article/surgery-for-torn-meniscus-in-the-knee-is-often-unnecessary-ineffective-misdirected

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