Arthroscopic Partial Meniscectomy for Degenerative Tear - 10-Year Outcomes.

研究概要

146 patients with degenerative meniscal tears were randomized to receive either arthroscopic partial meniscectomy or sham surgery in the FIDELITY Trial -- 133 of whom completed 10 year follow-up. The primary outcomes of interest included the Western Ontario Meniscal Evaluation Tool (WOMET) for symptoms and disability, the Lysholm Knee score for knee function, knee pain on a 10-point rating scale, osteoarthritis progression, and structural radiographic changes. Results revealed no evidence of a benefit of arthroscopic partial meniscectomy across all outcomes, and even a suggestion that it may lead to worse disability and symptoms compared to sham surgery.