ArticleOrthopaedic journal of sports medicine2020
Knee Arthroscopic Surgery in Middle-Aged Patients With Meniscal Symptoms: A 5-Year Follow-up of a Prospective, Randomized Study.
Article in Orthopaedic journal of sports medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01288768 (Is a Knee Arthroscopy of Any Benefit for the Middleaged Patient With Meniscal Symptoms?), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Is a Knee Arthroscopy of Any Benefit for the Middleaged Patient With Meniscal Symptoms?
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Arthroscopic surgery is not superior to conservative treatment in knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trails.BMC musculoskeletal disorders · 2024Pooled it
- Arthroscopic surgery for degenerative knee disease (osteoarthritis including degenerative meniscal tears).The Cochrane database of systematic reviews · 2022Pooled it
- Long-term physical activity in middle-aged patients with meniscal symptoms: a 10-year follow-up of a randomised controlled trial comparing exercise therapy alone to knee arthroscopic surgery plus exercise therapy.BMC musculoskeletal disorders · 2025Trial
- Radiographic Changes Five Years After Treatment of Meniscal Tear and Osteoarthritic Changes.Arthritis care & research · 2025Trial
- Knee Arthroscopic Surgery in Middle-Aged Patients With Meniscal Symptoms: A 10-Year Follow-up of a Prospective, Randomized Controlled Trial.The American journal of sports medicine · 2024Trial
- Incidence of Total Knee Arthroplasty After Arthroscopic Surgery for Knee Osteoarthritis: A Secondary Analysis of a Randomized Clinical Trial.JAMA network open · 2024Trial
- 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 network open · 2022Trial
- Imrecoxib versus celecoxib as postoperative analgesia for patients receiving arthroscopic knee surgery: a randomized, controlled, non-inferiority study.Inflammopharmacology · 2022Trial
- In patients eligible for meniscal surgery who first receive physical therapy, multivariable prognostic models cannot predict who will eventually undergo surgery.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Trial
- Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial.British journal of sports medicine · 2020Trial
- Relationships between smoking, high BMI and the results of arthroscopic treatment of isolated medial meniscus tear - a cross-sectional study.BMC musculoskeletal disorders · 2025Article
- Association Between Structural Change Over Eighteen Months and Subsequent Symptom Change in Middle-Aged Patients Treated for Meniscal Tear.Arthritis care & research · 2023Article
- Effectiveness of Rehabilitation for Knee Osteoarthritis Associated With Isolated Meniscus Injury: A Scoping Review.Cureus · 2023Article
- Cost-Effectiveness of Arthroscopic Partial Meniscectomy and Physical Therapy for Degenerative Meniscal Tear.ACR open rheumatology · 2022Article
- Treatment of the syndrome of knee pain and meniscal tear in middle-aged and older persons: A narrative review.Osteoarthritis and cartilage open · 2022Article
- Five-Year Structural Changes in the Knee Among Patients With Meniscal Tear and Osteoarthritis: Data From a Randomized Controlled Trial of Arthroscopic Partial Meniscectomy Versus Physical Therapy.Arthritis & rheumatology (Hoboken, N.J.) · 2022Article
- Association Between Baseline Meniscal Symptoms and Outcomes of Operative and Nonoperative Treatment of Meniscal Tear in Patients With Osteoarthritis.Arthritis care & research · 2022Article
- No decrease in incidence of arthroscopic meniscectomy in a Canadian province.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Arthroscopic partial meniscectomy: did it ever work?Acta orthopaedica · 2021Article
- Evidence-based Risk Stratification for Sport Medicine Procedures During the COVID-19 Pandemic.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundArthroscopic meniscal surgery is a common orthopaedic procedure in middle-aged patients, but the efficacy of this procedure has been questioned. In this study, we followed up the only randomized controlled trial that has shown a 1-year benefit from knee arthroscopic surgery with an exercise program compared with an exercise program alone. PURPOSE: To (1) evaluate whether knee arthroscopic surgery combined with an exercise program provided an additional 5-year benefit compared with an exercise program alone in middle-aged patients with meniscal symptoms, (2) determine whether baseline mechanical symptoms affected the outcome, and (3) compare radiographic changes between treatment groups. STUDY
designRandomized controlled trial; Level of evidence, 1.
methodsOf 179 eligible patients aged 45 to 64 years, 150 were randomized to either a 3-month exercise program (nonsurgery group) or to the same exercise program plus knee arthroscopic surgery (surgery group) within 4 weeks. Radiographs were assessed, according to the Kellgren-Lawrence grade, at baseline and at the 5-year follow-up. The primary outcome was the change in Knee injury and Osteoarthritis Outcome Score (KOOS)-Pain (KOOS
resultsA total of 102 patients completed the 5-year questionnaire. At the 5-year follow-up, both groups had significant improvement in KOOS
conclusionKnee arthroscopic surgery combined with an exercise program provided no additional long-term benefit after 5 years compared with the exercise program alone in middle-aged patients with meniscal symptoms. Surgical outcomes were better in patients without mechanical symptoms than in patients with mechanical symptoms during the preoperative period. Radiographic changes did not differ between treatment groups. REGISTRATION: NCT01288768 (ClinicalTrials.gov identifier).
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Registered trials
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.