Our Summary

This research paper investigates whether arthroscopic surgery or conservative treatments, such as physical therapy and steroids, are more effective in treating degenerative meniscal tears (a common knee injury). The researchers looked at several studies, involving over 1,500 patients, that compared these two treatment methods.

The results showed that there was no significant difference in pain levels or knee function between patients who had surgery and those who received conservative treatments. This suggests that, for these types of knee injuries, a good physical therapy program can be just as effective as surgery. Surgery should potentially be considered only if the physical therapy does not provide enough relief.

FAQs

  1. Does the research indicate if arthroscopic surgery or conservative treatments are more effective for degenerative meniscal tears?
  2. Was there any significant difference in pain levels or knee function between patients who had surgery and those who had conservative treatments?
  3. When should surgery be considered according to the research findings?

Doctor’s Tip

A doctor might tell a patient that after a meniscectomy, it is important to follow a rehabilitation program that includes physical therapy to strengthen the muscles around the knee and improve range of motion. This can help prevent future knee injuries and improve overall function. It is also important to listen to your body and not push yourself too hard during recovery, as this can delay healing. Additionally, maintaining a healthy weight and staying active can help prevent further knee problems in the future.

Suitable For

Patients who are typically recommended meniscectomy include those who have:

  1. Persistent knee pain and swelling that does not improve with conservative treatments such as physical therapy and medication.
  2. Mechanical symptoms such as locking or catching of the knee joint, which can indicate a significant tear in the meniscus.
  3. Limited range of motion in the knee joint.
  4. Instability or giving way of the knee during weight-bearing activities.
  5. Younger patients with traumatic meniscal tears that are causing significant functional limitations.
  6. Patients with large or complex meniscal tears that cannot be adequately treated with conservative measures.
  7. Patients with degenerative meniscal tears who have not responded to conservative treatments and whose symptoms significantly impact their daily activities.

It is important for patients to consult with their healthcare provider to determine the best course of treatment for their specific condition and individual needs.

Timeline

Before meniscectomy:

  1. Patient experiences knee pain, swelling, and limited range of motion.
  2. Patient undergoes physical examination and imaging tests to diagnose the meniscal tear.
  3. Patient may try conservative treatments such as physical therapy, rest, ice, and medication to manage symptoms.
  4. If conservative treatments are not effective, the patient may be recommended for arthroscopic surgery (meniscectomy).

After meniscectomy:

  1. Patient undergoes arthroscopic surgery to remove the damaged part of the meniscus.
  2. Patient may experience pain, swelling, and stiffness in the knee after surgery.
  3. Patient undergoes physical therapy to regain strength and range of motion in the knee.
  4. Patient gradually resumes normal activities and sports with guidance from a physical therapist.
  5. Patient may experience improved knee function and reduced pain in the long term.

What to Ask Your Doctor

  1. What are the risks and benefits of undergoing a meniscectomy compared to conservative treatments?
  2. How long is the recovery time after a meniscectomy surgery?
  3. Are there any alternative treatments or therapies that could be effective in treating my meniscal tear?
  4. What factors should I consider when deciding between surgery and conservative treatments for my meniscal tear?
  5. Are there any specific exercises or rehabilitation programs that I should follow after the surgery to ensure a successful recovery?
  6. What are the potential long-term effects or complications of undergoing a meniscectomy surgery?
  7. How likely is it that the meniscal tear could worsen or reoccur after surgery?
  8. What is the success rate of meniscectomy surgery in terms of pain relief and improved knee function?
  9. Are there any specific guidelines or restrictions I should follow in terms of physical activity or sports after undergoing a meniscectomy?

Reference

Authors: Giuffrida A, Di Bari A, Falzone E, Iacono F, Kon E, Marcacci M, Gatti R, Di Matteo B. Journal: Eur Rev Med Pharmacol Sci. 2020 Mar;24(6):2874-2885. doi: 10.26355/eurrev_202003_20651. PMID: 32271405