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  • Arthroscopic partial meniscectomy provides no benefit over sham surgery in the setting of isolated degenerative medial meniscal tears without osteoarthritis

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Therapeutics
Randomised controlled trial
Arthroscopic partial meniscectomy provides no benefit over sham surgery in the setting of isolated degenerative medial meniscal tears without osteoarthritis
  1. Stephen Lyman,
  2. Christopher Dy
  1. Healthcare Research Institute, Hospital for Special Surgery, New York, New York, USA
  1. Correspondence to: Dr Stephen Lyman, Healthcare Research Institute, Hospital for Special Surgery, 535 East 70th Street, New York, NY 10021, USA; lymans{at}hss.edu

https://doi.org/10.1136/eb-2014-101731

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    Commentary on: Sihvonen R, Paavola M, Malmivaara A, et al. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med 2013;369:2515–24.OpenUrlCrossRefPubMedWeb of Science

    Context

    Arthroscopic partial meniscectomy (APM) is arguably the most frequent knee surgery procedure undertaken in the USA, with between 500 000 and 1 million operations performed annually. Surgical treatment of symptomatic meniscal tears with APM (ie, meniscal shaving/trimming) is considered the standard of care for degenerative tears, which are not usually amenable to meniscal repair (ie, suturing).1 Several randomised trials have called into question the utility of arthroscopic surgery among patients with knee osteoarthritis, culminating with the Meniscal Tear in Osteorthritis Research (MeTeOR) trial, which demonstrated no advantage to APM over physical therapy in patients with meniscal tears and moderate osteoarthritis.2–4 A remaining indication for APM is the treatment of symptomatic meniscal …

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    Footnotes

    • Competing interests None.