Exercise therapy versus arthroscopic partial meniscectomy for degenerative meniscal tear in middle aged patients: randomised controlled trial with two year follow-up

British Journal of Sports Medicine
Nina Jullum KiseEwa M Roos

Abstract

To determine if exercise therapy is superior to arthroscopic partial meniscectomy for knee function in middle aged patients with degenerative meniscal tears. Randomised controlled superiority trial. Orthopaedic departments at two public hospitals and two physiotherapy clinics in Norway. 140 adults, mean age 49.5 years (range 35.7-59.9), with degenerative medial meniscal tear verified by magnetic resonance imaging. 96% had no definitive radiographic evidence of osteoarthritis. 12 week supervised exercise therapy alone or arthroscopic partial meniscectomy alone. Intention to treat analysis of between group difference in change in knee injury and osteoarthritis outcome score (KOOS4), defined a priori as the mean score for four of five KOOS subscale scores (pain, other symptoms, function in sport and recreation, and knee related quality of life) from baseline to two year follow-up and change in thigh muscle strength from baseline to three months. No clinically relevant difference was found between the two groups in change in KOOS4 at two years (0.9 points, 95% confidence interval -4.3 to 6.1; P=0.72). At three months, muscle strength had improved in the exercise group (P≤0.004). No serious adverse events occurred in either group du...Continue Reading

References

Aug 1, 1987·Radiology·J V CruesD W Stoller
Sep 1, 1997·The Journal of Orthopaedic and Sports Physical Therapy·L A Bolgla, D R Keskula
Dec 24, 1998·Scandinavian Journal of Medicine & Science in Sports·E M RoosL S Lohmander
Nov 9, 2002·Journal of Strength and Conditioning Research·Michael D RossPatrick J Whelan
Dec 1, 1957·Annals of the Rheumatic Diseases·J H KELLGREN, J S LAWRENCE
Sep 26, 2003·European Journal of Applied Physiology·Joshua M DrouinDavid H Perrin
Nov 14, 2003·Health and Quality of Life Outcomes·Ewa M Roos, L Stefan Lohmander
Oct 7, 2005·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ole Reigstad, Christian Grimsgaard
Jan 12, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sylvia HerrlinSuzanne Werner
Sep 1, 2007·The American Journal of Sports Medicine·L Stefan LohmanderEwa M Roos
Dec 9, 2008·The Medical Clinics of North America·Martin Englund
Jan 5, 2010·The Journal of Manual & Manipulative Therapy·Steven J KamperGrant Mackay
Mar 23, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sylvia V HerrlinLars Weidenhielm
Sep 11, 2012·The Journal of Orthopaedic and Sports Physical Therapy·Silje StensrudMay Arna Risberg
Mar 20, 2013·The New England Journal of Medicine·Jeffrey N KatzElena Losina
May 25, 2013·The American Journal of Sports Medicine·Ji-Hyeon YimHyoung-Yeon Seo
Jul 19, 2013·The American Journal of Sports Medicine·Geoffrey D AbramsBrian J Cole
Dec 27, 2013·The New England Journal of Medicine·Raine SihvonenUNKNOWN Finnish Degenerative Meniscal Lesion Study (FIDELITY) Group
Oct 1, 2014·JAMA : the Journal of the American Medical Association·Rana S HinmanKim L Bennell
Sep 19, 2015·British Journal of Sports Medicine·J B ThorlundL S Lohmander

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Citations

Oct 31, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Masayuki KamimuraEiji Itoi
May 2, 2019·Orthopaedic Journal of Sports Medicine·Avinesh AgarwallaNikhil N Verma
Oct 8, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Ian D EnglerMatthew J Salzler
Mar 22, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Emily W ChanJason Shin
Jun 15, 2021·Open Medicine·Mikołaj WypychPrzemysław T Paradowski
Dec 21, 2021·Frontiers in Bioengineering and Biotechnology·Alexander TackStefan Zachow

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Methods Mentioned

BETA
lavage

Software Mentioned

SPSS Statistics
KOOS
Stata

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