Physical Therapy vs Arthroscopic Partial Meniscectomy In People With Degenerative Meniscal Tears .
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Effect of Physical Therapy vs Arthroscopic Partial Meniscectomy in People With Degenerative Meniscal Tears: Five-Year Follow-up of the ESCAPE Randomized Clinical Trial
JAMA Netw Open . 2022 Jul 1;5(7):e2220394.Three hundred twenty-one patients with degenerative meniscal tears were randomized to receive arthroscopic partial meniscectomy (n=159) or exercise-based physical therapy (n=162). The primary outcome of interest was patient-reported knee function assessed by the International Knee Documentation Committee (IKDC) questionnaire. Secondary outcomes included radiographic progression of knee osteoarthritis, symptomatic OA, pain during activities, physical functioning (KOOS-PS), and quality of life. Outcomes were assessed at multiple time points up to 5 years. Overall, the results of the study revealed that physical therapy was noninferior to surgery for knee function, with no clinically meaningful differences in OA progression or other secondary outcomes. These findings suggest that physical therapy should be preferred over surgery for managing degenerative meniscal tears.
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