Friday, 19 Oct 2018

You are here

Knee Arthroscopic Surgeries on the Decline

A JAMA Internal Medicine report has shown that the rate of arthroscopic surgery has significantly declined, in an era when arthroplasty and the incidence of osteoarthritis (OA) has increased. (Citation source http://bit.ly/2DtpeUp)

The analysis was undertaken as numerous studies have failed to show significant long-term benefits when arthroscopy was used to manage knee pain, meniscal tears and knee OA.

Researchers examined data on all surgeries done on patients 18 and older in Florida from 2002 to 2015.

During this era, there were a total of 868,482 arthroscopic knee procedures and an overall decline in arthroscopic operations of 23%, even moreso after 2008.

In 2002, the knee arthroscopy rate in Florida was 449 procedures per 100,000 adults. By 2015 this fell to 345 procedures per 100,000 adults.  During this timespan, overall knee arthroplastly increased.

The sharper declines after 2008 follow publication of another major study that failed to show a different in outcomes between arthroscopic surgery and medical management. 

 

 

Disclosures: 
The author has no conflicts of interest to disclose related to this subject

Add new comment

More Like This

Vitamin D Fails to Improve Bone Health

The current edition of Lancet Diabetes & Endocrinology suggests that neither vitamin D supplementation, nor dose, will improve bone density or prevent fractures in adults. (Citation source: https://buff.ly/2O9tqxI)

Zolendronic Acid Benefits Elder Women with Osteopenia

The NEJM reports that zolendronic acid was shown to significantly lower the risk of nonvertebral or vertebral fragility fractures in older women with osteopenia. 

Neuropathic Like Knee Pain

Fernandez and colleagues have shed further light on a significant subset of patients with knee pain - specifically, those with neuropathic like knee pain (NKP) that includes those with knee pain modified by central and peripheral neurologic dysfunction.

Fractures May Lead to Systemic Bone Loss

Researchers at the University of California - Davis have shown that elderly women who had an upper body fracture or multiple fractures had more loss of hip density compared to those who who did not fracture. Systemic bone loss may increase the risk of future fractures. 

Maastricht Study Links Dairy Intake to Osteoarthritis

The Maastricht study explored the potential association between dairy consumption and knee osteoarthritis (OA), and found that higher intake of full-fat dairy and Dutch cheese - but not milk - was significantly associated with the lower risk of knee OA.