Arthroscopic meniscal surgery versus conservative management in patients aged 40 years and older: a meta-analysis

Lee, Dong Hoon; Park, Youngjin; Kim, Hyun-Jung; Nam, Dae-Cheol; Park, Jin-Sung; Song, Sang-Youn; Kang, Dong-Geun

doi:10.1007/s00402-018-2991-0

Cited by 20 publications

(20 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The pooled results from 9 randomized controlled trials (RCTs) demonstrated no difference in pain or function after APM versus conservative management in patients older than 40 years, although arthroscopic technique varied between studies. 77 Both Lee et al 77 and Monk et al 90 recommended that APM be performed only in patients with a degenerative meniscal tear for whom conservative management had failed. Petersen et al 106 found no difference in outcomes between APM versus nonoperative management for meniscal tears, although patients who crossed over from physical therapy to APM had similar outcomes to patients who initially opted for APM.…”

Section: Resultsmentioning

confidence: 99%

“…23,86,108 In patients with concomitant degenerative meniscal tears and osteoarthritis, evidence regarding the efficacy of APM has been conflicting. 43,68,73 Substantial evidence is available demonstrating no difference in clinical outcomes for APM versus conservative management for degenerative meniscal tears 1,70,77,78,106,132 ; however, the available evidence may be biased and of low quality. 58,87 Clinical outcomes tended to improve after APM and reoperation rates were low, although knee osteoarthritis is likely to develop after APM.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses

Smoak

Matthews

Vinod

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: A large number of systematic reviews and meta-analyses regarding the meniscus have been published. Purpose: To provide a qualitative summary of the published systematic reviews and meta-analyses regarding the meniscus. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic search of all meta-analyses and systematic reviews regarding the meniscus and published between July 2009 and July 2019 was performed with PubMed, CINAHL, EMBASE, and the Cochrane database. Published abstracts, narrative reviews, articles not written in English, commentaries, study protocols, and topics that were not focused on the meniscus were excluded. The most pertinent results were extracted and summarized from each study. Results: A total of 332 articles were found, of which 142 were included. Included articles were summarized and divided into 16 topics: epidemiology, diagnosis, histology, biomechanics, comorbid pathology, animal models, arthroscopic partial meniscectomy (APM), meniscal repair, meniscal root repairs, meniscal allograft transplantation (MAT), meniscal implants and scaffolds, mesenchymal stem cells and growth factors, postoperative rehabilitation, postoperative imaging assessment, patient-reported outcome measures, and cost-effectiveness. The majority of articles focused on APM (20%), MAT (18%), and meniscal repair (17%). Conclusion: This summary of systematic reviews and meta-analyses delivers surgeons a single source of the current evidence regarding the meniscus.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses

Smoak

Matthews

Vinod

et al. 2020

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“… 21 Nevertheless, the optimal postoperative approach is debated. 22 Some authors investigated home-based rehabilitation programs (HBP) instead of standard inpatient and/or outpatient supervised physical therapy (IOP). In view of the high number of AM procedures performed globally, their societal impact and costs, 23 , 24 and considering that HBP confers a cost reduction compared with IOP, 25 understanding the potential and limitations of HBP-based AM postoperative management would be of substantial relevance for patients, physicians, and health care systems worldwide.…”

Section: Introductionmentioning

confidence: 99%

Home-Based vs Supervised Inpatient and/or Outpatient Rehabilitation Following Knee Meniscectomy

et al. 2021

View full text Add to dashboard Cite

Key Points Question Is inpatient and/or outpatient rehabilitation associated with better recovery compared with home-based rehabilitation after arthroscopic isolated meniscectomy? Findings This systematic review and meta-analysis compared home-based rehabilitation vs inpatient and/or outpatient rehabilitation after arthroscopic isolated meniscectomy, including 8 randomized clinical trials with a total of 434 participants. Inpatient and/or outpatient rehabilitation was not associated with better outcomes in terms of knee function (Lysholm score) at both short-term and midterm follow-up. Meaning These findings suggest that home-based rehabilitation is a suitable option for recovery after arthroscopic isolated meniscectomy in the general population.

show abstract

“…In such cases, the first line of the treatment option should be conservative management. 19,20 A study conducted on middle-aged patients reported the same benefits of exercise therapy as of surgical intervention in meniscal tears. 21 In early stages of knee osteoarthritis, supervised physiotherapy program and routine follow up can prevent the advancement of osteoarthritis and hence total knee replacement surgeries can be delayed or avoided.…”

Section: Literature Reviewmentioning

confidence: 99%

Is physiotherapy an underused approach to prevent surgery in selective musculoskeletal disorders?

Amin

Gohir

Qaiser

et al. 2021

Bangladesh J Med Sci

View full text Add to dashboard Cite

Objectives: The purpose of the literature review was to appraise the evidence that an early physiotherapy intervention helps to prevent the surgery in selective musculoskeletal disorders. A search of Google Scholar, Web of Science, Scopus, and PubMed was carried out utilizing the terms (“physiotherapy”, “surgery” OR “exercise, surgery” OR “rehabilitation”, “surgery”). Methods: The article titles and abstracts were screened for eligibility and included in the review. The recent literature evidently emphasized that physiotherapy has opted in selective musculoskeletal problems to avoid and delay surgeries. Results: Regardless of recommended conservative treatment option and effectiveness of physiotherapy, a massive gap can be observed between its evidence and practice. Conversely, overuse of diagnostic imaging, surgeries, and medications is present in clinical practice. In most of the clinical problems the long-term outcomes were reported the same with surgical and physiotherapy intervention. Likewise, patients can also get the advantage of better clinical outcome and cost-effectiveness with physiotherapy as compared to surgical intervention. Conclusion: The cost-effectiveness is an important factor in low-income countries where economic aspects of health care are highly considered. These advantages of physiotherapy should be considered by the clinicians, policymakers, patients, and included in the clinical guidelines. Bangladesh Journal of Medical Science Vol.20(2) 2021 p.409-413

show abstract

Arthroscopic meniscal surgery versus conservative management in patients aged 40 years and older: a meta-analysis

Cited by 20 publications

References 45 publications

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses

An Up-to-Date Review of the Meniscus Literature: A Systematic Summary of Systematic Reviews and Meta-analyses

Home-Based vs Supervised Inpatient and/or Outpatient Rehabilitation Following Knee Meniscectomy

Is physiotherapy an underused approach to prevent surgery in selective musculoskeletal disorders?

Contact Info

Product

Resources

About