Functional Outcomes of Arthroscopic Partial Meniscectomy Versus Physical Therapy for Degenerative Meniscal Tears Using a Patient-Specific Score: A Randomized Controlled Trial

Orthopaedic Journal of Sports Medicine
Julia C A NoorduynJ van der Kraan

Abstract

It is unknown whether the treatment effects of partial meniscectomy and physical therapy differ when focusing on activities most valued by patients with degenerative meniscal tears. To compare partial meniscectomy with physical therapy in patients with a degenerative meniscal tear, focusing on patients' most important functional limitations as the outcome. Randomized controlled trial; Level of evidence, 1. This study is part of the Cost-effectiveness of Early Surgery versus Conservative Treatment with Optional Delayed Meniscectomy for Patients over 45 years with non-obstructive meniscal tears (ESCAPE) trial, a multicenter noninferiority randomized controlled trial conducted in 9 orthopaedic hospital departments in the Netherlands. The ESCAPE trial included 321 patients aged between 45 and 70 years with a symptomatic, magnetic resonance imaging-confirmed meniscal tear. Exclusion criteria were severe osteoarthritis, body mass index >35 kg/m2, locking of the knee, and prior knee surgery or knee instability due to an anterior or posterior cruciate ligament rupture. This study compared partial meniscectomy with physical therapy consisting of a supervised incremental exercise protocol of 16 sessions over 8 weeks. The main outcome mea...Continue Reading

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References

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Citations

Feb 8, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Julia C A NoorduynUNKNOWN ESCAPE Research Group
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
Apr 27, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Joan C Monllau

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Clinical Trials Mentioned

NCT01850719

Software Mentioned

SPSS

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