Ahead of the Finnish Sports Physiotherapy Congress (June 9 and 10, 2017), BJSM editor in chief Karim Khan, chats with the senior author of a study that proved that partial removal of a degenerative torn meniscus does not alleviate mechanical symptoms when compared with sham surgery. That was Teppo JÃ¤rvinen (http://bit.ly/2rlfW5I), professor of orthopaedics and traumatology at the University of Helsinki and a speaker at the Finnish Congress in June.
Before that study (link below), orthopaedists were confident of the benefits of arthroscopic surgery on patients suffering from mechanical symptoms. However, â€œscientific proof of the benefits had been based entirely on uncontrolled follow-up studies,â€ said Dr Raine Sihvonen, specialist in orthopaedics at the HatanpÃ¤Ã¤ Hospital in Tampere and first author of the study.
Here is the link to the study in the New England Journal of Medicine:
In the podcast we cover:
- A birdâ€™s eye view of Bruce Moseleyâ€™s seminal sham surgery study â€“ arthroscopy was no more helpful for knee arthroscopy in older people than sham surgery http://www.nejm.org/doi/full/10.1056/NEJMoa013259#t=article
- The fact that MRI is not a good predictor of who will benefit from knee arthroscopy. Hereâ€™s Dr Martin Englundâ€™s NEJM paper. http://www.nejm.org/doi/full/10.1056/NEJMoa0800777#t=article
- Ewa Roosâ€™ and Nina Kiseâ€™s study showing that exercise provides as good results as arthroscopic meniscectomy. Remember â€“ the patients who fail rehab also fail surgery. Look for other solutions â€“ not arthroscopy â€“ to cure that patient. http://www.bmj.com/content/354/bmj.i3740
Hereâ€™s a YouTube video summarizing the FIDELITY study in 4 minutes. https://www.youtube.com/watch?v=RaDWkJHmEB0
Here the link to the Finnish Sports Physiotherapy Congress â€“ June 9 & 10, 2017.
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