Friday, 15 Dec 2017

You are here

No Arthroscopy Needed for Degenerative Knees and Meniscal Tears

The British Medical Journal has published a clinical practice guideline for the use of arthroscopic surgery for degenerative knee arthritis and meniscal tears, suggesting that many patients will not benefit from such surgery. (Citation source http://buff.ly/2pNhgug)

Reuters reports that globally, > 2 million people annually will have arthroscopic surgery for degenerative knees. These new guidelines recommend against for most patients with knee arthritis arthritis.

In the US the annual cost of arthroscopic knee surgery is nearly $3 billion, and although the risk of serious adverse events is low, its utility was questioned by an multidisciplinary panel who reviewed data from 13 randomized controlled trials.

In the end, the panel strongly recommended against arthroscopy based on a low probability (15%) of improving short-term pain and function that does not last for a year. This is in addition to the burden/pain experienced postoperatively and rare risk of serious adverse effects associated with knee arthroscopy. 

Experts suggest that  intraarticular corticosteroids, physical therapy and anti-inflammatory medications are as effective as surgery for degenerative meniscal tears,

 

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

Add new comment

More Like This

Knee Surgery Outcomes Worse with Low Education

Reuters reports that patients who live in low-income communities and lack a college education may have worse pain after knee replacement surgery than their more educated neighbors, citing results from a recent study from the Hospital for Special Surgery in NY.

Weight Loss Does Not Protect OA Knees

A new study presented at the Radiological Society of North America (RSNA) shows that obese people with substantial weight loss may significantly slow down the rate of joint space narrowing (cartilage degeneration) in the knee cartilage, but only if they lose weight through diet and exercise or diet alone; excercise alone is insufficient. 

Prevalence of Arthritis Grossly Underestimated

Researchers at the Boston University School of Medicine have published a new report showing that arthritis affected 91 million adults in the US in 2015 or 37% of the poplulation. Their prevalence estimate is 68% higher than previously reported arthritis national estimates. 

Zilretta - a New Drug FDA Approved for Osteoarthritis of the Knee

Flexion Therapeutics announced friday that the U.S. Food and Drug Administration (FDA) has approved its osteoarthritis (OA) of the knee injectable steroid drug Zilretta with the indication of moderate-to-severe knee pain.

Zilretta is the commonly used triamcinolon acetonide combined with a drug delivery system designed to provide extended pain relief over three months.

UAB Researchers Shed Light on Age-Related Osteoporosis

Researchers from the University of Alabama at Birmingham (UAB) have detailed mechanisms leading to age-related bone loss and osteoporosis.