Our Summary

This study looked at the progression of knee conditions in adults aged 35-60 who have a specific type of knee injury (degenerative meniscal tear). The researchers wanted to see if there were any differences in the long-term effects (5 years later) of two types of treatment: 12 weeks of supervised exercise therapy or a type of knee surgery called arthroscopic partial meniscectomy. They looked at changes in the knee joint and the development of bone spurs, as well as the occurrence of knee osteoarthritis and the patients’ own reports of their symptoms.

The results were inconclusive. They did not find any significant differences in the progression of these knee conditions between the group that had surgery and the group that had exercise therapy. Therefore, the study did not provide strong evidence that either treatment is more effective in preventing further knee damage or improving patient-reported outcomes.

FAQs

  1. What age group did the study on degenerative meniscal tear focus on?
  2. What were the two types of treatments that the study compared for knee conditions?
  3. What were the findings of the study regarding the long-term effects of exercise therapy and arthroscopic partial meniscectomy?

Doctor’s Tip

One helpful tip a doctor might tell a patient about meniscectomy is to follow a structured rehabilitation program post-surgery to ensure proper healing and to regain strength and function in the knee. This may include physical therapy exercises, rest, ice, compression, and elevation as needed. It is important to listen to your body and not push yourself too hard too soon, as this could potentially cause further damage to the knee. It is also important to communicate with your healthcare provider about any concerns or changes in symptoms during the recovery process.

Suitable For

Patients who are typically recommended for meniscectomy are those who have a specific type of knee injury known as a degenerative meniscal tear. This type of injury is more common in adults aged 35-60 and is characterized by a tear in the meniscus that occurs as a result of wear and tear on the knee joint over time. Patients with this type of injury may experience symptoms such as pain, swelling, stiffness, and limited range of motion in the affected knee.

In some cases, conservative treatments such as physical therapy, corticosteroid injections, and pain medication may be recommended to manage symptoms and improve function. However, if these treatments are not effective in relieving pain and improving knee function, or if the patient’s symptoms continue to worsen over time, surgery may be recommended.

Meniscectomy is a surgical procedure in which a portion of the torn meniscus is removed to alleviate symptoms and improve knee function. This procedure is typically recommended for patients with a degenerative meniscal tear who have persistent knee pain, swelling, and limited range of motion that do not respond to conservative treatments.

Overall, the decision to undergo meniscectomy should be made on a case-by-case basis, taking into consideration the patient’s age, overall health, level of physical activity, and the severity of their knee symptoms. It is important for patients to discuss the potential risks and benefits of surgery with their healthcare provider and to explore all treatment options before making a decision.

Timeline

Before meniscectomy:

  1. Patient experiences knee pain, swelling, and limited range of motion.
  2. Patient undergoes physical examination, imaging tests (such as MRI), and possibly a trial of conservative treatments like physical therapy or corticosteroid injections.
  3. Decision is made to proceed with meniscectomy surgery, which may be recommended if conservative treatments have not provided relief.

After meniscectomy:

  1. Patient undergoes arthroscopic partial meniscectomy surgery, during which the damaged part of the meniscus is removed.
  2. Patient may experience initial post-operative pain and swelling, which typically improves with rest, ice, and pain medication.
  3. Patient undergoes physical therapy to regain strength and range of motion in the knee.
  4. Patient gradually returns to normal activities, with full recovery typically occurring within a few months.
  5. Patient may experience long-term effects such as development of knee osteoarthritis or persistent symptoms, which may require further treatment or management.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a meniscectomy procedure?

  2. How long is the recovery period after a meniscectomy and what is the rehabilitation process like?

  3. Are there alternative treatment options to consider before opting for surgery, such as physical therapy or corticosteroid injections?

  4. What are the chances of the meniscus tearing again after surgery and what can be done to prevent re-injury?

  5. Will I need to make any lifestyle or activity modifications after a meniscectomy to protect my knee?

  6. How will a meniscectomy impact my long-term knee health and risk of developing osteoarthritis?

  7. Are there any specific exercises or rehabilitation techniques that can help improve the strength and flexibility of my knee after surgery?

  8. How soon can I return to my normal daily activities and sports or physical activities after a meniscectomy?

  9. Will I need any follow-up appointments or imaging tests to monitor the healing process and the condition of my knee after surgery?

  10. What are the success rates of meniscectomy in terms of pain relief and improved knee function in patients with similar conditions to mine?

Reference

Authors: Berg B, Roos EM, Englund M, Kise NJ, Tiulpin A, Saarakkala S, Engebretsen L, Eftang CN, Holm I, Risberg MA. Journal: Osteoarthritis Cartilage. 2020 Jul;28(7):897-906. doi: 10.1016/j.joca.2020.01.020. Epub 2020 Mar 14. PMID: 32184135