Is a Knee Arthroscopy of Any Benefit for the Middleaged Patient With Meniscal Symptoms?

Conditions

Chronic Meniscus Injury

Keywords

Meniscal injury, Knee arthroscopy, Middleaged, Functional outcome

Brief summary

The purpose of this study is to determine whether a knee arthroscopy is effective in the treatment of middleaged patients with meniscal symptoms also receiving a standardised exercise program.

Detailed description

There are no studies proving a significant positive effect of a knee arthroscopy in middleaged patients with meniscal symptoms in excess of a structured rehabilitation program. In this study consecutive patients aged 45-64 years referred to the orthopaedic department at the University hospital Linköping for a suspected meniscal injury will be randomised to a rehabilitation program or a knee arthroscopy + the same rehabilitation program. Functional tests will be performed by a physiotherapist. There will be patient administrated questionaries sent out after 3 and 12 month.

Sofi Sonesson, Ingo N. Springer, Jafar Yakob, Henrik Hedevik, Håkan Gauffin et al. (6 authors)

The American Journal of Sports Medicine2024-07-019 citations

10.1177/03635465241255653

Knee Arthroscopic Surgery in Middle-Aged Patients With Meniscal Symptoms: A 5-Year Follow-up of a Prospective, Randomized Study

Sofi Sonesson, Joanna Kvist, Jafar Yakob, Henrik Hedevik, Håkan Gauffin

Orthopaedic Journal of Sports Medicine2020-01-0133 citations

10.1177/2325967119893920

Knee Arthroscopic Surgery in Middle-Aged Patients With Meniscal Symptoms: A 3-Year Follow-up of a Prospective, Randomized Study

Håkan Gauffin, Sofi Sonesson, Andreas Meunier, Henrik Magnusson, Joanna Kvist

The American Journal of Sports Medicine2017-04-2161 citations

10.1177/0363546517701431

Knee arthroscopic surgery is beneficial to middle-aged patients with meniscal symptoms: a prospective, randomised, single-blinded study.

Gauffin H, Tagesson S, Meunier A, Magnusson H, Kvist J.

2014-07-30137 citations

10.1016/j.joca.2014.07.017

Interventions

PROCEDUREKnee arthroscopy

Knee arthroscopy within 4 weeks.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Investigator)

Eligibility

Sex/Gender

ALL

Age

45 Years to 64 Years

Healthy volunteers

No

Inclusion criteria

* All (consecutive) patients referred to the orthopaedic department in Linköping for a suspected meniscal injury * Age:45-64 years old * No gonarthrosis (Ahlbäck=0) on standing radiographs

Exclusion criteria

* Rheumatic disease * Patellofemoral arthrosis * Fibromyalgia * A knee or hip replacement * A neurologic disorder including stroke * A contraindication for an operation * Catching or locking for more than 2 seconds more than once a week * A permanent extension deficit * Patients who cannot understand instructions in Swedish

Design outcomes

Primary

Measure	Time frame	Description
KOOS (Knee injury and Osteoarthritis Outcome Score); Pain subscale	12 month	KOOS is a 42 item selfadministrated questionnaire with 5 separate subscales; pain, symptoms, activities of daily living (ADL), sport and recreation, quality of life (QoL). A change of approximately 10 is considered a clinical important difference (CID). At 12 month after the randomization the arthroscopy+exercise therapy arm will be compared to the exercise therapy alone arm.

Secondary

Measure	Time frame	Description
KOOS (Knee injury and Osteoarthritis Outcome Score)	3 month	—
Tegner activity scale	12 month	—
KOOS (Symptoms, ADL, Sport/rec, QOL subscores)	12 month	—
Functional tests	3 month	Squatting (possible without pain, possible with pain, not possible). SOLEC ( one-legged stance) barefoot. Best time for three trials. Standing up from a chair on one leg, maximum repetitions in 30 sec. All test supervised by a physiotherapist.

Countries

Sweden

Outcome results

None listed