Arthroscopic Partial Meniscectomy vs. Physical Therapy for Meniscal Tears in a Young Population .
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Arthroscopic partial meniscectomy versus physical therapy for traumatic meniscal tears in a young study population: a randomised controlled trial
Br J Sports Med. 2022 Jun 8;56(15):870-876.One hundred patients with isolated traumatic meniscal tears were randomized to receive either arthroscopic partial meniscectomy (n=49) or standardized physical therapy with an option for delayed surgery (n=51). The primary outcome was the IKDC score at 24 months. Secondary outcomes included the Knee Injury and Osteoarthritis Outcome Score (KOOS), pain levels (NRS), Lysholm score, Western Ontario Meniscal Evaluation Tool (WOMET), Tegner activity level, and patient satisfaction with knee function. Follow-ups occurred at baseline, 3, 6, 9, 12, and 24 months. Overall, the study found no significant difference in IKDC scores between the two groups at 24 months. Additionally, 59% of patients in the physical therapy group did not undergo delayed surgery. These findings suggest that physical therapy with optional delayed surgery is a viable alternative to early arthroscopic partial meniscectomy.
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