Related ACE Reports
- Published: Mar 2017
- ACE Report #9586
AAOS2017: Debridement vs. observation of chondral lesions encountered during meniscectomy
Study Type: Randomized Trial
OE Level of Evidence: N/A
Journal Level of Evidence: N/A
CONFERENCE ACE REPORTS
This ACE Report is a summary of a conference presentation or abstract. The information provided has limited the ability to provide an accurate assessment of the risk of bias or the overall quality. Please interpret the results with caution as trials may be in progress and select results may have been presented.
Why was this study needed now?
Chondral lesions are often encountered during meniscectomy procedures. While debridement can be performed on these lesions during the surgical procedure it is unknown if it provides significant benefit over simple observation.
What was the principal research question?
When chondral lesions are found during partial meniscectomy, is there any significant difference in clinical outcome after 1 year between those which are debrided versus left for observation?
|Population:||190 patients undergoing partial meniscectomy and intraoperative identification of Outerbridge grade II-IV chondral lesions.|
|Intervention:||CL-Deb group: During surgery, debridement was performed for identified chondral lesions. (n=98)|
|Comparison:||CL-noDeb group: Debridement was not performed for chondral lesions. (n=92)|
|Outcomes:||The primary outcome was the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) pain score. Secondary clinical scores included the WOMAC function and stiffness subscales, the Knee Injury and Osteoarthritis Outcomes Score (KOOS), a visual analog scale (VAS) for pain, and the Short Form 36-Item General Health Survey (SF-36).|
|Time:||Follow-up scheduled for 8-12 days, 6 weeks, 3 months, 6 months, and 1 year postoperatively.|
What were the important findings?
What should I remember most?
How will this affect the care of my patients?
The authors responsible for this critical appraisal and ACE Report indicate no potential conflicts of interest relating to the content in the original publication.