Trends in Meniscus Repair and Meniscectomy in the United States, 2005-2011

Abrams, Geoffrey D.; Frank, Rachel M.; Gupta, Anil K.; Harris, Joshua D.; McCormick, Frank; Cole, Brian J.

doi:10.1177/0363546513495641

Cited by 347 publications

(339 citation statements)

References 32 publications

Supporting

Mentioning

314

Contrasting

Unclassified

Order By: Relevance

“…Also, some patients with degenerative tears have an acute/sudden onset of symptoms with or without a clear knee injury, and these are therefore coded as traumatic (Drosos and Pozo 2004). Based on the current literature, only 5–15% of all treated meniscal tears are traumatic (Metcalf and Barrett 2004, Christoforakis et al 2005, Camanho et al 2006), and according to a report from the USA, 75% of patients undergoing meniscus repair are under 35 years of age (Abrams et al 2013). The incidence of meniscus repairs in our study remained low and unchanged during the study period in both Finland and Sweden.…”

Section: Discussionmentioning

confidence: 99%

“…Previous reports regarding the trends in a number of knee arthroscopic procedures indicate a reduced incidence of arthroscopies for knee OA, and a steady increase in the number of arthroscopic meniscus surgeries (Hawker et al 2008, Kim et al 2011, Abrams et al 2013). In the UK, the incidence of arthroscopic meniscal resections more than doubled from 2000 to 2012 in patients over 60 years of age (Lazic et al 2014).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

et al. 2015

View full text Add to dashboard Cite

Background and purposeKnee arthroscopy is commonly performed to treat degenerative knee disease symptoms and traumatic meniscal tears. We evaluated whether the recent high-quality randomized control trials not favoring arthroscopic surgery for degenerative knee disease affected the procedure incidence and trends in Finland and Sweden.Patients and methodsWe conducted a bi-national registry-based study including all adult (aged ≥18 years) inpatient and outpatient arthroscopic surgeries performed for degenerative knee disease (osteoarthritis (OA) and degenerative meniscal tears) and traumatic meniscal tears in Finland between 1997 and 2012, and in Sweden between 2001 and 2012.ResultsIn Finland, the annual number of operations was 16,389 in 1997, reached 20,432 in 2007, and declined to 15,018 in 2012. In Sweden, the number of operations was 9,944 in 2001, reached 11,711 in 2008, and declined to 8,114 in 2012. The knee arthroscopy incidence for OA was 124 per 105 person-years in 2012 in Finland and it was 51 in Sweden. The incidence of knee arthroscopies for meniscal tears coded as traumatic steadily increased in Finland from 64 per 105 person-years in 1997 to 97 per 105 person-years in 2012, but not in Sweden.InterpretationThe incidence of arthroscopies for degenerative knee disease declined after 2008 in both countries. Remarkably, the incidence of arthroscopy for degenerative knee disease and traumatic meniscal tears is 2 to 4 times higher in Finland than in Sweden. Efficient implementation of new high-quality evidence in clinical practice could reduce the number of ineffective surgeries.

show abstract

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

et al. 2015

View full text Add to dashboard Cite

show abstract

“…A multitude of incidence and demographic studies of orthopedic injury have been used the PearlDiver database since 2010. [6][7][8][9][10][11][12][13][14][15][16][17] PearlDiver provided state totals of operatively managed tibia fractures and state totals of patients who have had both a lower extremity fasciotomy and an operatively managed tibia fracture from 2007 to 2011. State procedure volumes less than eleven were censored by PearlDiver to protect patient privacy.…”

Section: Methodsmentioning

confidence: 99%

Geographic variation in fasciotomy during operative management of tibia fractures

Anders

Mutty

Cornwall

2016

Journal of Orthopaedics

View full text Add to dashboard Cite

“…Injury to, or removal of, meniscal tissue may be associated with articular cartilage degeneration, knee instability, and, ultimately, the progression of osteoarthritis. Multiple authors have reported on the potentially devastating implications of meniscal deficiency, and every attempt should be made to preserve meniscal tissue in the setting of meniscus injury, particularly in the young and/or athletic patient population [1]. Unfortunately, damaged meniscus tissue is not always amenable to repair, and meniscectomy is unavoidable.…”

Section: Introductionmentioning

confidence: 99%

Meniscus transplantation

Frank

Cole

2015

Curr Rev Musculoskelet Med

Self Cite

View full text Add to dashboard Cite

Understanding the structure and function of the meniscus is critical to understanding its role in overall knee joint function. Injury to, or removal of, meniscal tissue may be associated with articular cartilage wear, knee instability, and, ultimately, the progression of osteoarthritis. While every effort is made for preserving and/or repairing damaged meniscal tissue, in some cases, the meniscus is not amenable to repair after injury. For appropriately indicated patients with symptomatic meniscal deficiency, meniscus allograft transplantation is an excellent surgical solution aimed at reducing pain and improving function. Indications for meniscus allograft transplantation are limited, and concomitant procedures such as osteotomy for malalignment, ligamentous, and/or articular cartilage restoration may be necessary in order to ensure an optimal result following meniscus allograft transplantation. Surgical techniques for meniscus allograft transplantation are variable and include soft-tissue fixation versus bone plug fixation versus bone bridge fixation. Outcomes following meniscus allograft transplantation are generally good to excellent, though reoperation rates are relatively high. The purpose of this article is to provide a concise review of recently published data on meniscus allograft transplantation, with a focus on recent outcomes studies.

show abstract

Trends in Meniscus Repair and Meniscectomy in the United States, 2005-2011

Abstract: There has been an increased number of isolated meniscus repairs being performed in the US over the past 7 years without a concomitant increase in meniscectomies over the same time frame. These data suggest that meniscus repairs are preferentially being performed over meniscectomies.

Cited by 347 publications

References 32 publications

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

Changes in rates of arthroscopy due to degenerative knee disease and traumatic meniscal tears in Finland and Sweden

Geographic variation in fasciotomy during operative management of tibia fractures

Meniscus transplantation

Contact Info

Product

Resources

About