Knee Surgery, Sports Traumatology, Arthroscopy

, Volume 15, Issue 4, pp 393–401

Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial

  • Sylvia Herrlin
  • Maria Hållander
  • Peter Wange
  • Lars Weidenhielm
  • Suzanne Werner
Knee

DOI: 10.1007/s00167-006-0243-2

Cite this article as:
Herrlin, S., Hållander, M., Wange, P. et al. Knee Surg Sports Traumatol Arthrosc (2007) 15: 393. doi:10.1007/s00167-006-0243-2

Abstract

In this prospective randomised study two treatments after non-traumatic medial meniscal tear diagnosed with radiological examination and magnetic resonance imaging were compared; arthroscopic partial meniscectomy followed by supervised exercise or supervised exercise alone. The aim was to evaluate knee function and physical activity. Ninety patients (mean age 56 years) were evaluated using the Knee Injury and Osteoarthritis Outcome Score, the Lysholm Knee Scoring Scale, the Tegner Activity Scale and a Visual Analogue Scale for knee pain prior to the intervention, after 8 weeks of exercise and after 6 months. According to the outcome scores arthroscopic partial medial meniscectomy combined with exercise did not lead to greater improvement than exercise alone. After the intervention both groups reported decreased knee pain, improved knee function and a high satisfaction (P < 0.0001). Forty-one per cent of the patients returned to their pre-injury activity level after 6 months. In conclusion, when evaluated with outcome scores, arthroscopic partial medial meniscectomy followed by supervised exercise was not superior to supervised exercise alone in terms of reduced knee pain, improved knee function and improved quality of life.

Keywords

Arthroscopy Knee Joint Exercise Physiotherapy Questionnaires 

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Sylvia Herrlin
    • 1
  • Maria Hållander
    • 2
  • Peter Wange
    • 2
  • Lars Weidenhielm
    • 3
    • 4
  • Suzanne Werner
    • 2
  1. 1.Department of PhysiotherapyRehabtjänstStockholmSweden
  2. 2.Capio Artro Clinic, Stockholm Sports Trauma Research CenterKarolinska InstitutetStockholmSweden
  3. 3.Department of Molecular Medicine and SurgeryKarolinska InstitutetStockholmSweden
  4. 4.Department of OrthopaedicsKarolinska HospitalStockholmSweden