Article Text

Download PDFPDF

Arthroscopic surgery was not effective for relieving pain or improving function in osteoarthritis of the knee
Free

Statistics from Altmetric.com


 
 QUESTION: In patients with osteoarthritis of the knee, is arthroscopic surgery effective for relieving pain and improving function?

Design

Randomised (allocation concealed*), blinded (patients and outcome assessors),* placebo controlled trial with 2 years of follow up.

Setting

A Veterans Affairs medical centre in Houston, Texas, USA.

Patients

180 patients who were ≤75 years of age (mean age 52 y, 93% men), had osteoarthritis of the knee as defined by the American College of Rheumatology, reported at least moderate knee pain (scored ≥4 on a visual analogue scale of 0–10) despite maximal medical treatment for ≥6 months, and had not received arthroscopy in the previous 2 years. Exclusion criteria were severity grade ≥9 (maximum 12), severe deformity, or serious medical problems. Follow up was 89% at 1 year and 91% at 2 years.

Intervention

After stratification for severity of osteoarthritis, patients were allocated to 1 of 3 groups: lavage (n=61), …

View Full Text

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.