Arthroscopic partial meniscectomy for meniscal tears of the knee: a systematic review and meta-analysis

British Journal of Sports Medicine
Simon G F AbramAndrew Price

Abstract

To assess the benefit of arthroscopic partial meniscectomy (APM) in adults with a meniscal tear and knee pain in three defined populations (taking account of the comparison intervention): (A) all patients (any type of meniscal tear with or without radiographic osteoarthritis); (B) patients with any type of meniscal tear in a non-osteoarthritic knee; and (C) patients with an unstable meniscal tear in a non-osteoarthritic knee. Systematic review and meta-analysis. A search of MEDLINE, Embase, CENTRAL, Scopus, Web of Science, Clinicaltrials.gov and ISRCTN was performed, unlimited by language or publication date (inception to 18 October 2018). Randomised controlled trials performed in adults with meniscal tears, comparing APM versus (1) non-surgical intervention; (2) pharmacological intervention; (3) surgical intervention; and (4) no intervention. Ten trials were identified: seven compared with non-surgery, one pharmacological and two surgical. Findings were limited by small sample size, small number of trials and cross-over of participants to APM from comparator interventions. In group A (all patients) receiving APM versus non-surgical intervention (physiotherapy), at 6-12 months, there was a small mean improvement in knee pain (s...Continue Reading

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Citations

Jun 4, 2019·The Bone & Joint Journal·A J PriceD J Beard
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Feb 2, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Imran AhmedAndrew Metcalfe
Feb 28, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kyu Sung ChungJeong Ku Ha
Mar 22, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Emily W ChanJason Shin
Apr 23, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kenneth R ZaslavElliott B Hershman
Jul 11, 2021·Nature Communications·Deepak A KajiAlice H Huang
Oct 5, 2021·Acta Orthopaedica·Aleksi ReitoTeemu Karjalainen
Jan 29, 2022·Clinical and Translational Medicine·Bao-Shi FanJia-Kuo Yu

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