Sham Surgery as Effective as Meniscectomy for Degenerative Knee Mensicus Tear Interview with:
Raine Sihvonen, M.D.
From the Department of Orthopedics and Traumatology
Hatanpää City Hospital, Tampere Finland What are the main findings of the study?

Dr. Järvinen: The main finding of the study is that arthroscopic partial meniscectomy
is not superior over sham-surgery (placebo) when treated patients with knee
pain attributable to degenerative  meniscus tear, even in the
`best-case-scenario, that is patients with no knee OA. Were any of the findings unexpected?

Dr. Järvinen: The fact that meniscectomy was found to be no better than sham even 0 to
6 six months postoperatively. What should clinicians and patients take away from your report?

Dr. Järvinen: Arthroscopic partial meniscectomy should not be offered to middle-aged
patients with degenerative knee disease, that is non-traumatic knee pain.
Middle-aged patients with non-traumatic knee pain,  should not seek after
surgery, but rather do muscle exercise. What recommendations do you have for future research as a result of this study?

Dr. Järvinen: The possible benefit of partial meniscectomy should be investigated
among patients with a clear traumatic onset of symptoms.


Arthroscopic Partial Meniscectomy versus Sham Surgery for a Degenerative
Meniscal Tear

Raine Sihvonen, M.D., Mika Paavola, M.D., Ph.D., Antti Malmivaara, M.D., Ph.D., Ari Itälä, M.D., Ph.D., Antti Joukainen, M.D., Ph.D., Heikki Nurmi, M.D., Juha Kalske, M.D., and Teppo L.N. Järvinen, M.D., Ph.D. for the Finnish Degenerative Meniscal Lesion Study (FIDELITY) Group

N Engl J Med 2013; 369:2515-2524
December 26, 2013DOI: 10.1056/NEJMoa1305189


Last Updated on December 26, 2013 by Marie Benz MD FAAD