Arthroscopic surgery for degenerative knee arthritis and meniscal tears: A clinical practice guideline

Reed A.C. Siemieniuk, Ian A. Harris, Thomas Agoritsas, Rudolf W. Poolman, Romina Brignardello-Petersen, Stijn Van De Velde, Rachelle Buchbinder, Martin Englund, Lyubov Lytvyn, Casey Quinlan, Lise Helsingen, Gunnar Knutsen, Nina Rydland Olsen, Helen MacDonald, Louise Hailey, Hazel M. Wilson, Anne Lydiatt, Annette Kristiansen

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Abstract

What is the role of arthroscopic surgery in degenerative knee disease? An expert panel produced these recommendations based on a linked systematic review triggered by a randomised trial published in The BMJ in June 2016, which found that, among patients with a degenerative medial meniscus tear, knee arthroscopy was no better than exercise therapy. The panel make a strong recommendation against arthroscopy for degenerative knee disease. Box 1 shows all of the articles and evidence linked in this Rapid Recommendation package. The infographic provides an overview of the absolute benefits and harms of arthroscopy in standard GRADE format. Table 2 below shows any evidence that has emerged since the publication of this article.

Original languageEnglish
Article numberj1982
JournalBMJ: British Medical Journal
Volume357
DOIs
Publication statusPublished - 2017

Cite this

Siemieniuk, R. A. C., Harris, I. A., Agoritsas, T., Poolman, R. W., Brignardello-Petersen, R., Van De Velde, S., Buchbinder, R., Englund, M., Lytvyn, L., Quinlan, C., Helsingen, L., Knutsen, G., Olsen, N. R., MacDonald, H., Hailey, L., Wilson, H. M., Lydiatt, A., & Kristiansen, A. (2017). Arthroscopic surgery for degenerative knee arthritis and meniscal tears: A clinical practice guideline. BMJ: British Medical Journal, 357, [j1982]. https://doi.org/10.1136/bmj.j1982