Benefits of Arthroscopy in Osteoarthritis of the Knee
Article Sidebar
Published:
Apr 30, 2015
Keywords:
Arthroscopic knee Osteoarthritis Knee Arthroscopic lavage
Main Article Content
Abstract
As the life span of the world’s population continues to rise, the prevalence of osteoarthritis (OA) is also expected to increase. The goals of treatment are to reduce symptoms and slow the progression of the disease. Numerous treatment strategies are used for osteoarthritis of the knee including non-operative and operative procedures. Arthroscopic surgery has been used for many procedures in knee osteoarthritis with the advantage of only a small incision for many procedures. However, recent studies show that arthroscopy in knee OA patients has limited benefit and is not recommended as a routine treatment. Patients with acute onset of pain and effusion, loose bodies or large meniscal tears could get better results. Therefore, proper evaluation and management of osteoarthritis of the knee are key factors.
Article Details
Section
Review Articles
References
1. Chang RW, Falconer J, Stulberg SD, Arnold WJ, Manheim LM, Dyer AR. A randomized, controlled trial of arthroscopic surgery versus closed- needle joint lavage for patients with osteoarthritis of the knee. Arthritis Rheum 1993; 36: 289-96.
2. Spahn G, Klinger HM, Hofmann GO. The effect of arthroscopic debridement and conservative treatment in knee osteoarthritis: Results of a 5-year follow-up and literature review. Sportverletz Sportschaden 2013; 27: 226-31.
3. American academy of orthopaedic Surgeons. Treatment of osteoarthritis of the knee (non-arthroplasty). full guideline. December 6, 2008. available at: http://www.aaos.org/research/guidelines/ GuidelineoaKnee.asp. accessed February 16, 2009.
4. Jackson RW, Rouse DW. The results of partial arthroscopic meniscectomy in patients over 40 years of age. J Bone Joint Surg Br 1982; 64: 481-5.
5. Bonamo JJ, Kessler KJ, Noah J. Arthroscopic meniscectomy in patients over the age of 40. Am J Sports Med 1992; 20: 422-9.
6. McBride GG, Constine RM, Hofmann AA, Carson RW. Arthroscopic partial medial meniscectomy in the older patient. J Bone Joint Surg Am 1984; 66: 547-51.
7. Lotke PA, Lefkoe RT, Ecker ML. Late results following medial meniscectomy in an older population. J Bone Joint Surg Am 1981; 63: 115-9.
8. Herrlin S, Hållander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 2007; 15: 393-401.
9. Herrlin S, Wange P, Lapidus G, Hållander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc 2013; 21: 358-64.
10. Katz JN, Brophy RH, Chaisson CE, de Chaves L, Cole BJ, Dahm DL, et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med 2013; 368: 1675-84.
11. Dervin GF, Stiell IG, Rody K, Grabowski J. Effect of Arthroscopic Débridement for Osteoarthritis of the Knee on Health-Related Quality of Life. J Bone Joint Surg Am 2003; 85-A: 10-9.
12. Bae DK, Yoon KH, Song SJ. Cartilage Healing After Microfracture in Osteoarthritic Knees. Arthroscopy 2006; 22: 367-74.
13. Asik M, Ciftci F, Sen C, Erdil M, Atalar A. The microfracture technique for the treatment of full thickness articular cartilage lesions of the knee: midterm results. Arthroscopy 2008; 24: 1214-20.
14. Nehrer S, Spector M, Minas T. Histologic analysis of tissue after failed cartilage repair procedures. Clin Orthop Relat Res 1999; 365: 149-62.
15. Mithoefer K, McAdams T, Williams RJ, Kreuz PC, Mandelbaum BR. Clinical efficacy of the microfracture technique for articular cartilage repair in the knee: an evidence-based systematic analysis. Am J Sports Med 2009; 37: 2053-63.
16. Saris DB, Vanlauwe J, Victor J, Almqvist KF, Verdonk R, Bellemans J, et al. Treatment of symptomatic cartilage defects of the knee: characterized chondrocyte implantation results in better clinical outcome at 36 months in a randomized trial compared to microfracture. Am J Sports Med 2009; 37: 10S-19S.
17. Harris JD, Siston RA, Pan X, Flanigan DC. Autologous chondrocyte implantation: a systematic review. J Bone Joint Surg Am 2010; 92: 2220-33.
18. Baker CL Jr, Ferguson CM. Future treatment of osteoarthritis. Orthopedics 2005; 28: s227-34.
19. Minas T. Autologous chondrocyte implantation in the arthritic knee. Orthopedics 2003; 26: 945-7.
20. Krishnan SP, Skinner JA, Bartlett W, Carrington RW, Flanagan AM, Briggs TW, et al. Who is the ideal candidate for autologous chondrocyte implantation? J Bone Joint Surg Br 2006; 88: 61-4.
21. Camp CL, Stuart MJ, Krych AJ. Current concepts of articular cartilage restoration techniques in the knee. Sports Health 2014; 6: 265-73.
2. Spahn G, Klinger HM, Hofmann GO. The effect of arthroscopic debridement and conservative treatment in knee osteoarthritis: Results of a 5-year follow-up and literature review. Sportverletz Sportschaden 2013; 27: 226-31.
3. American academy of orthopaedic Surgeons. Treatment of osteoarthritis of the knee (non-arthroplasty). full guideline. December 6, 2008. available at: http://www.aaos.org/research/guidelines/ GuidelineoaKnee.asp. accessed February 16, 2009.
4. Jackson RW, Rouse DW. The results of partial arthroscopic meniscectomy in patients over 40 years of age. J Bone Joint Surg Br 1982; 64: 481-5.
5. Bonamo JJ, Kessler KJ, Noah J. Arthroscopic meniscectomy in patients over the age of 40. Am J Sports Med 1992; 20: 422-9.
6. McBride GG, Constine RM, Hofmann AA, Carson RW. Arthroscopic partial medial meniscectomy in the older patient. J Bone Joint Surg Am 1984; 66: 547-51.
7. Lotke PA, Lefkoe RT, Ecker ML. Late results following medial meniscectomy in an older population. J Bone Joint Surg Am 1981; 63: 115-9.
8. Herrlin S, Hållander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc 2007; 15: 393-401.
9. Herrlin S, Wange P, Lapidus G, Hållander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc 2013; 21: 358-64.
10. Katz JN, Brophy RH, Chaisson CE, de Chaves L, Cole BJ, Dahm DL, et al. Surgery versus physical therapy for a meniscal tear and osteoarthritis. N Engl J Med 2013; 368: 1675-84.
11. Dervin GF, Stiell IG, Rody K, Grabowski J. Effect of Arthroscopic Débridement for Osteoarthritis of the Knee on Health-Related Quality of Life. J Bone Joint Surg Am 2003; 85-A: 10-9.
12. Bae DK, Yoon KH, Song SJ. Cartilage Healing After Microfracture in Osteoarthritic Knees. Arthroscopy 2006; 22: 367-74.
13. Asik M, Ciftci F, Sen C, Erdil M, Atalar A. The microfracture technique for the treatment of full thickness articular cartilage lesions of the knee: midterm results. Arthroscopy 2008; 24: 1214-20.
14. Nehrer S, Spector M, Minas T. Histologic analysis of tissue after failed cartilage repair procedures. Clin Orthop Relat Res 1999; 365: 149-62.
15. Mithoefer K, McAdams T, Williams RJ, Kreuz PC, Mandelbaum BR. Clinical efficacy of the microfracture technique for articular cartilage repair in the knee: an evidence-based systematic analysis. Am J Sports Med 2009; 37: 2053-63.
16. Saris DB, Vanlauwe J, Victor J, Almqvist KF, Verdonk R, Bellemans J, et al. Treatment of symptomatic cartilage defects of the knee: characterized chondrocyte implantation results in better clinical outcome at 36 months in a randomized trial compared to microfracture. Am J Sports Med 2009; 37: 10S-19S.
17. Harris JD, Siston RA, Pan X, Flanigan DC. Autologous chondrocyte implantation: a systematic review. J Bone Joint Surg Am 2010; 92: 2220-33.
18. Baker CL Jr, Ferguson CM. Future treatment of osteoarthritis. Orthopedics 2005; 28: s227-34.
19. Minas T. Autologous chondrocyte implantation in the arthritic knee. Orthopedics 2003; 26: 945-7.
20. Krishnan SP, Skinner JA, Bartlett W, Carrington RW, Flanagan AM, Briggs TW, et al. Who is the ideal candidate for autologous chondrocyte implantation? J Bone Joint Surg Br 2006; 88: 61-4.
21. Camp CL, Stuart MJ, Krych AJ. Current concepts of articular cartilage restoration techniques in the knee. Sports Health 2014; 6: 265-73.