Our Summary

This research paper is about the best ways to treat knee osteoarthritis that don’t involve full knee replacement surgery. The paper is aimed specifically at adults aged 17 and older, and it doesn’t discuss treatments for other types of arthritis or joint problems. It includes both drug treatments and non-drug treatments, as well as less invasive surgical procedures.

The research makes 29 recommendations for healthcare professionals to follow when treating knee osteoarthritis, and also provides information for patients. The authors also highlight the need for further research into certain treatments, such as injections of corticosteroids, hyaluronic acid, and platelet-rich plasma. They also call for more research into the effects of removing part of the knee’s meniscus (a type of cartilage) in patients with mild to moderate osteoarthritis who haven’t improved with other treatments.

Furthermore, they suggest that more research is needed to understand which specific nonsteroidal anti-inflammatory drugs (NSAIDs) work best for different patient groups, to help increase the effectiveness of treatment and reduce side effects.

FAQs

  1. What are some of the best ways to treat knee osteoarthritis without full knee replacement surgery according to the research?
  2. What are the authors’ recommendations for further research into treatments for knee osteoarthritis?
  3. How does the research suggest nonsteroidal anti-inflammatory drugs (NSAIDs) can be more effectively used in knee osteoarthritis treatment?

Doctor’s Tip

One helpful tip a doctor might tell a patient about meniscectomy is to follow a structured rehabilitation program post-surgery to improve strength, flexibility, and range of motion in the knee. This can help prevent complications and promote a faster recovery. It is important to follow the guidance of a physical therapist and gradually increase activity levels as advised by the healthcare team.

Suitable For

Patients who are typically recommended for a meniscectomy are those with a torn meniscus that is causing persistent pain, swelling, and limited mobility in the knee. This procedure is often considered for patients who have not responded to conservative treatments such as physical therapy, rest, and medication. Meniscectomy may also be recommended for patients with a history of recurrent knee locking or instability due to a torn meniscus. Patients with severe tears or complex tears that cannot be repaired may also be candidates for a meniscectomy. It is important for healthcare professionals to carefully evaluate each patient’s individual situation and consider the potential risks and benefits of the procedure before recommending a meniscectomy.

Timeline

  • Before meniscectomy:
  1. Patient experiences knee pain, swelling, and limited range of motion in the affected knee.
  2. Patient may undergo physical therapy, corticosteroid injections, and other non-surgical treatments to manage symptoms.
  3. If symptoms persist and imaging tests confirm a torn meniscus, surgery may be recommended.
  • After meniscectomy:
  1. Patient undergoes the surgical procedure to remove all or part of the damaged meniscus.
  2. Patient may experience pain and swelling in the knee immediately 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 modifications to prevent future injury.
  5. Patient may experience long-term changes in knee function and increased risk of developing arthritis in the affected knee.

What to Ask Your Doctor

Some questions a patient should ask their doctor about meniscectomy include:

  1. What is a meniscectomy and why is it being recommended for my knee osteoarthritis?
  2. What are the risks and benefits of undergoing a meniscectomy procedure?
  3. Are there alternative treatments to meniscectomy that I should consider?
  4. What is the expected recovery time after a meniscectomy?
  5. Will I need physical therapy or rehabilitation after the procedure?
  6. How will a meniscectomy affect my long-term knee health and function?
  7. Are there any lifestyle changes or precautions I should take after a meniscectomy?
  8. How will a meniscectomy impact my ability to participate in physical activities or sports?
  9. What are the potential complications or side effects of a meniscectomy?
  10. Are there any additional follow-up appointments or treatments that I will need after the procedure?

Reference

Authors: Brophy RH, Fillingham YA. Journal: J Am Acad Orthop Surg. 2022 May 1;30(9):e721-e729. doi: 10.5435/JAAOS-D-21-01233. PMID: 35383651