Arthroscopic Treatment for Osteoarthritic Knee

Shin, Chung Shik; Lee, Ju Hong

doi:10.5792/ksrr.2012.24.4.187

Cited by 25 publications

(14 citation statements)

References 36 publications

(37 reference statements)

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“…However, the surgeon may consider arthroscopy in these patients under certain circumstances. Consistent symptomatology secondary to a specific mechanism or movement with or without mechanical symptoms that localises well to the joint line makes meniscal pathology more likely 61. Loose bodies can also be removed with arthroscopy to prevent mechanical symptoms or loss of joint motion.…”

Section: Patient Selectionmentioning

confidence: 99%

Degenerative meniscus tears - assimilation of evidence and consensus statements across three continents: state of the art

et al. 2017

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Section: Patient Selectionmentioning

confidence: 99%

Degenerative meniscus tears - assimilation of evidence and consensus statements across three continents: state of the art

et al. 2017

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“…Most orthopedic surgeons include arthroscopic surgery as a treatment modality for patients with mild or moderate knee OA. Arthroscopic surgery for knee OA may delay joint degeneration to maintain moderate activity and allow for future reconstruction, particularly for patients with mild to moderate OA ( 21 , 22 ). However, the treatment cannot reverse or stop the pathological process of OA or prevent its continuous development.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of intra‑articular ozone injections on outcomes of post‑arthroscopic surgery for knee osteoarthritis

Wang

Cai

2018

Exp Ther Med

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The purpose of the present study was to evaluate intra-articular ozone injection following arthroscopic surgery for knee osteoarthritis (OA) with regard to its efficacy in pain reduction, joint function and quality of life improvement. The present study retrospectively evaluated 80 patients with symptomatic knee OA (Kellgren-Lawrence grade II or III), who either did or did not receive 20 ml of 20 µg/ml ozone as an intra-articular injection after arthroscopic surgery. The minimum follow-up period was 12 months. The outcomes evaluated for knee OA were pain on the Visual Analogue Scale (VAS), Lequesne Index, Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Clinical Global Impression (CGI). The VAS score in the ozone group was significantly better than that in the control group at all post-operative follow-up time-points (P<0.05). The ozone group also exhibited a significantly greater improvement in Lequesne Index scores (P<0.05). In the ozone group, the score on the WOMAC-pain, WOMAC-stiffness and WOMAC-function subscales, as well as the total WOMAC score decreased significantly (P<0.05). Furthermore, in the ozone group a significantly higher number of patients (P<0.05) with better CGI grades was encountered compared with that in the control group at the 12-month follow-up assessment, despite comparable baseline values in all aforementioned clinical measures between the two groups of patients. The present study suggests that intra-articular ozone injections after arthroscopic surgery may effectively improve the outcomes of arthroscopic surgery in terms of pain relief, functional improvement and quality of life in patients with knee OA of Kellgren-Lawrence grade II or III.

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“…These studies have shown that radiofrequency-based therapies prevent damage to the cartilage and provide a smoothing effect without further fibrillation. Traditionally, surgeons have avoided radio-frequency based therapies because of fears of chondrocyte death from high temperature [11,12,[16][17][18][19][20].…”

Section: Open Accessmentioning

confidence: 99%

Cost-effectiveness analysis of Coblation versus mechanical shaver debridement in patients following knee chondroplasty

Adeyemi

Nherera

Trueman

et al. 2020

Cost Eff Resour Alloc

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Background To compare costs and outcomes following knee chondroplasty with Coblation versus mechanical shaver debridement (MSD) in patients with grade III articular cartilage lesions of the knee. Methods A decision-analytic model was developed to compare costs and outcomes of the two methods from a US payer perspective. We used published clinical data from a single-center randomized clinical trial (RCT) designed to compare outcomes between Coblation and MSD in patients with grade III articular cartilage lesions of the medial femoral condyle. Following primary knee chondroplasty, patients experienced either treatment success (no additional surgery required) or required a revision over the 4 year follow-up period. Costs associated with the initial chondroplasty, physical therapy sessions through the 6 week postoperative period, and revision rates at 4 years post-surgery were estimated using 2018 US Medicare Physician Fee Schedule. Sensitivity analyses including a 10 year time horizon and threshold analyses were performed to test the robustness of the model. Results The estimated total cost per patient was $4614 and $7886 for Coblation and MSD, respectively, resulting in cost-savings of $3272 in favor of Coblation, making it a dominant strategy because of lower costs and improved clinical outcomes. Threshold analysis showed that Coblation remained dominant even when revision rates were assumed to increase from the base case rate of 14–66%. Sensitivity analyses showed that cost-saving results were insensitive to variations in revision rates, number of physical therapy sessions and the time horizon used. Conclusion Coblation chondroplasty is a cost-saving procedure compared with MSD in the treatment of patients with grade III articular cartilage lesions of the knee.

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Arthroscopic Treatment for Osteoarthritic Knee

Cited by 25 publications

References 36 publications

Degenerative meniscus tears - assimilation of evidence and consensus statements across three continents: state of the art

Degenerative meniscus tears - assimilation of evidence and consensus statements across three continents: state of the art

Effectiveness of intra‑articular ozone injections on outcomes of post‑arthroscopic surgery for knee osteoarthritis

Cost-effectiveness analysis of Coblation versus mechanical shaver debridement in patients following knee chondroplasty

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