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Research

Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis

Moin Khan, Nathan Evaniew, Asheesh Bedi, Olufemi R. Ayeni and Mohit Bhandari
CMAJ October 07, 2014 186 (14) 1057-1064; DOI: https://doi.org/10.1503/cmaj.140433
Moin Khan
Division of Orthopaedic Surgery (Khan, Evaniew, Ayeni, Bhandari), Department of Surgery, McMaster University, Hamilton, Ont.; MedSport, Department of Orthopaedic Surgery (Bedi), University of Michigan, Ann Arbor, Mich.; Department of Clinical Epidemiology and Biostatistics (Bhandari), McMaster University, Hamilton, Ont.
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  • For correspondence: moinkhanmd@gmail.com
Nathan Evaniew
Division of Orthopaedic Surgery (Khan, Evaniew, Ayeni, Bhandari), Department of Surgery, McMaster University, Hamilton, Ont.; MedSport, Department of Orthopaedic Surgery (Bedi), University of Michigan, Ann Arbor, Mich.; Department of Clinical Epidemiology and Biostatistics (Bhandari), McMaster University, Hamilton, Ont.
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Asheesh Bedi
Division of Orthopaedic Surgery (Khan, Evaniew, Ayeni, Bhandari), Department of Surgery, McMaster University, Hamilton, Ont.; MedSport, Department of Orthopaedic Surgery (Bedi), University of Michigan, Ann Arbor, Mich.; Department of Clinical Epidemiology and Biostatistics (Bhandari), McMaster University, Hamilton, Ont.
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Olufemi R. Ayeni
Division of Orthopaedic Surgery (Khan, Evaniew, Ayeni, Bhandari), Department of Surgery, McMaster University, Hamilton, Ont.; MedSport, Department of Orthopaedic Surgery (Bedi), University of Michigan, Ann Arbor, Mich.; Department of Clinical Epidemiology and Biostatistics (Bhandari), McMaster University, Hamilton, Ont.
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Mohit Bhandari
Division of Orthopaedic Surgery (Khan, Evaniew, Ayeni, Bhandari), Department of Surgery, McMaster University, Hamilton, Ont.; MedSport, Department of Orthopaedic Surgery (Bedi), University of Michigan, Ann Arbor, Mich.; Department of Clinical Epidemiology and Biostatistics (Bhandari), McMaster University, Hamilton, Ont.
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    Figure 1:

    Selection of randomized controlled trials (RCTs) for inclusion in the meta-analysis.

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    Figure 2:

    Risk-of-bias assessment of randomized controlled trials included in the meta-analysis.

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    Figure 3:

    Pooled short-term functional outcomes of conservative and surgical treatment. Red lines show a zone of clinical equivalence based on a minimal important difference of 10 on the Knee Injury and Osteoarthritis Outcome Score.37,39,40–43 Note: CI = confidence interval, SD = standard deviation, SMD = standardized mean difference.

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    Figure 4:

    Pooled long-term functional outcomes of conservative and surgical treatment. Red lines show a zone of clinical equivalence based on a minimal important difference of 10 on the Knee Injury and Osteoarthritis Outcome Score.38–41,43 Note: CI = confidence interval, SD = standard deviation, SMD = standardized mean difference.

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    Table 1:

    Studies included in the meta-analysis

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Canadian Medical Association Journal: 186 (14)
CMAJ
Vol. 186, Issue 14
7 Oct 2014
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Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis
Moin Khan, Nathan Evaniew, Asheesh Bedi, Olufemi R. Ayeni, Mohit Bhandari
CMAJ Oct 2014, 186 (14) 1057-1064; DOI: 10.1503/cmaj.140433

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Arthroscopic surgery for degenerative tears of the meniscus: a systematic review and meta-analysis
Moin Khan, Nathan Evaniew, Asheesh Bedi, Olufemi R. Ayeni, Mohit Bhandari
CMAJ Oct 2014, 186 (14) 1057-1064; DOI: 10.1503/cmaj.140433
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  • Arthroscopic partial meniscectomy versus placebo surgery for a degenerative meniscus tear: a 2-year follow-up of the randomised controlled trial
  • Management of osteoarthritis of the knee in younger patients
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  • Knee arthroscopy versus conservative management in patients with degenerative knee disease: a systematic review
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  • Arthroscopic surgery for knee pain: a highly questionable practice without supporting evidence of even moderate quality
  • Return to Work and Sport Following High Tibial Osteotomy: A Systematic Review
  • Arthroscopic surgery for knee pain
  • The role for arthroscopic partial meniscectomy in knees with degenerative changes: a systematic review
  • The evidence base for orthopaedics and sports medicine: scandalously poor in parts
  • Viscosupplementation in Knee Osteoarthritis: Evidence Revisited
  • Return to sport after open and microdiscectomy surgery versus conservative treatment for lumbar disc herniation: a systematic review with meta-analysis
  • Cost-effectiveness analysis of arthroscopic surgery compared with non-operative management for osteoarthritis of the knee
  • Arthroscopic surgery for degenerative knee: Overused, ineffective, and potentially harmful
  • Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms
  • Knee arthroscopy: influence of systems for delivering healthcare on procedure rates
  • Arthroscopic surgery for degenerative knee: systematic review and meta-analysis of benefits and harms
  • Arthroscopic surgery for degenerative knee
  • Femoroacetabular impingement surgery: are we moving too fast and too far beyond the evidence?
  • Special tests for assessing meniscal tears within the knee: a systematic review and meta-analysis
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