Evidence map›Paper›PMID 26554420›Full record

SynthesisDeutsches Arzteblatt international2015

The Treatment of Non-Traumatic Meniscus Lesions.

Wolf Petersen, Andrea Achtnich, Christian Lattermann, Sebastian Kopf

Abstract readComparative StudySystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 4 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A systematic review about telemedicine in orthopedics.Archives of orthopaedic and trauma surgery · 2021
    Pooled it
  4. Subgroups of patients with osteoarthritis and medial meniscus tear or crystal arthropathy benefit from arthroscopic treatment.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2019
    Pooled it
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. [Quality in sports orthopedics and traumatology: more than just return to play].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021
    Review
  14. Article
  15. Review
  16. Article
  17. Review
  18. Observational
  19. In Reply.Deutsches Arzteblatt international · 2016
    Article
  20. Unfounded Concerns.Deutsches Arzteblatt international · 2016
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Wolf PetersenDepartment of Orthopedics and Trauma Surgery Martin Luther Hospital, Berlin, Department of Orthopedic Sports Medicine, Klinikum rechts der Isar der Technischen Universität M¨nchen, Department of Orthopaedic Surgery, University of Kentucky, Lexington, Kentucky, U.S.A., Center for Musculoskeletal Surgery, Charité - University Medicine Berlin, The authors are members of the research committee of the AGA - Society for Arthroscopy and Joint Surgery.
Andrea Achtnich
Christian Lattermann
Sebastian Kopf
Charité - Universitätsmedizin Berlin · DE

Funding

Clinical and Biochemical Predictors of Outcome after Knee Injury in Young PatientK23AR060275 · NIAMS · UNIVERSITY OF KENTUCKY · PI LATTERMANN, CHRISTIAN · 2012 to 2016
$566k
NIAMS NIH HHS K23 AR060275
6 · The paper itself

Abstract

backgroundMost meniscus lesions are of non-traumatic origin. The indications for partial meniscectomy are controversial.

methodsWe systematically searched the literature for randomized controlled trials (RCTs) comparing partial meniscectomy with non-surgical treatment.

resultsOf 6870 articles retrieved by the literature search, we were able to include six in this systematic review. Five trials showed no difference between the clinical outcomes of patients who underwent arthroscopic partial meniscectomy and those who underwent control treatment (arthroscopic lavage, physiotherapy, glucocorticoids). In three trials, however, symptoms improved in 21-30% of the patients in the physiotherapy group only after they underwent arthroscopic partial meniscectomy (crossover design). In two trials, the percentage of patients who crossed over from one treatment arm to the other was markedly lower; in one, the frequency of crossing over was not reported. In one RCT, the patients who underwent arthroscopic partial meniscectomy had significantly less pain and other symptoms. Five of the six trials had acceptable scores for method, but all had weaknesses. These mainly concerned the description of the surgical techniques and the failure to take account of analgesic use-in particular, the use of non-steroidal antiinflammatory drugs (NSAIDs).

conclusionFor most patients with non-traumatic meniscus lesions, surgical and non-surgical treatments seem to be of equal value; only one of the six included trials revealed lower pain and symptom scores after arthroscopic partial meniscectomy. In multiple trials, however, the crossover analysis showed that non-surgical treatment fails for some patients. These patients may benefit from arthroscopic partial meniscectomy. Further trials are needed to better define this subgroup of patients.

Indexed as

Physical Therapy ModalitiesAnti-Inflammatory Agents, Non-SteroidalArthroscopyCombined Modality TherapyEvidence-Based MedicineHumansKnee InjuriesTibial Meniscus InjuriesTreatment OutcomeAnti-Inflammatory Agents, Non-Steroidal

Identifiers

PMID26554420
PMCPMC4644934
OpenAlexW2416984793

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.