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Meniscal resection may not benefit patients with traumatic meniscal tears
  1. Raine Sihvonen
  1. Correspondence to Dr Raine Sihvonen, Department of Orthopaedics and Traumatology, University of Tampere, Hatanpää Hospital, Hatanpäänkatu 24, Tampere 33900, Finland; raine.sihvonen{at}fimnet.fi

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Commentary on: Thorlund JB, Englund M, Christensen R, et al. Patient reported outcomes in patients undergoing arthroscopic partial meniscectomy for traumatic or degenerative meniscal tears: comparative prospective cohort study. BMJ 2017;356:j356.

Context

Arthroscopic partial meniscectomy (APM), a keyhole surgery where loose and fragmented pieces of a torn meniscus is removed, is one of the most common orthopaedic procedures performed. Over half of these are performed to treat a meniscus tear in a degenerative knee.1 However, several recent randomised trials have shown that APM is not superior to conservative treatment or placebo treating meniscus tears associated with a degenerative knee.2

Another ‘type’ of meniscus tear is a traumatic tear, the result of a traumatic knee injury of younger patient with otherwise healthy knee (with no degeneration). It has been a virtual unanimity among orthopaedic surgeons that patients …

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