Patient Outcomes After Observation Versus Debridement of Unstable Chondral Lesions During Partial Meniscectomy

Abstract

Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

A Controlled Comparison of Microfracture, Debridement, and No Treatment of Concomitant Full-Thickness Cartilage Lesions in Anterior Cruciate Ligament–Reconstructed Knees: A Nationwide Prospective Cohort Study From Norway and Sweden of 368 Patients With 5-Year Follow-up

“…That finding is in line with the findings in a recent randomized controlled trial demonstrating no benefit of debridement of chondral lesions encountered during arthroscopic partial meniscectomy. 3 However, as pointed out in a recent systematic review, 10 considerable heterogeneity in patients, injuries, surgical factors, outcome measurements, and observation periods exists among the different reports, making it difficult to directly compare the findings from these studies. The observational study design has limitations, as is the case in the present study as well.…”

Predictive Factors and Duration to Return to Sport After Isolated Meniscectomy

“…Patients who underwent concomitant chondroplasty were included in this investigation. 4 Of this patient cohort, a total of 108 patients had documented preoperative sport information in their medical record. In comparison with patients who did not have RTS information available (n = 224), there was a statistical difference with regard to age and workers’ compensation status ( P < .001 and P = .02, respectively) (Table 1).…”

Adult Measures of General Health and Health‐Related Quality of Life

“…The SF‐36 has been extensively used in randomized controlled trials in rheumatic disease settings. Some examples of recent trials that utilized the SF‐36 include the assessments of the efficacy of debridement of unstable chondral lesions versus observation following arthroscopic partial meniscectomy , intra‐articular ozone versus placebo in knee osteoarthritis , the effects of Tai Ji Quan training versus health promotion classes on self‐reported sleep quality in elderly Chinese women with knee osteoarthritis , tofacitinib in combination with conventional disease‐modifying antirheumatic drugs in rheumatoid arthritis , acupuncture versus sham procedure for knee osteoarthritis , and andrographis paniculata extract versus placebo in knee osteoarthritis . The SF‐36 was also used in comparative effectiveness trials, including trials comparing muscle‐stretching exercise and resistance training in fibromyalgia , sensory‐motor training versus resistance training among patients with knee osteoarthritis ; and quadriceps strength training alone versus quadriceps and hip abductor strength training in knee osteoarthritis .…”