Arthroscopic treatment of osteoarthritis of the knee: are there any evidence-based indications?

Abstract:

:Despite the lack of consensus guidelines and randomized control trials, the use of arthroscopy for the treatment of osteoarthritis of the knee has increased over the last decade. Techniques used for the arthroscopic treatment of osteoarthritis of the knee include joint lavage, joint débridement, meniscectomy, abrasion arthroplasty, and microfracture. We performed a retrospective, evidence-based review of the current literature on the arthroscopic treatment of osteoarthritis of the knee and provide insight into the study design flaws and difficulties associated with the current research on this controversial topic. Our literature search yielded 18 relevant studies. Of these, one was Level I evidence, five were Level II, six were Level III, and six were Level IV. We found limited evidence-based research to support the use of arthroscopy as a treatment method for osteoarthritis of the knee. Arthroscopic débridement of meniscus tears and knees with low-grade osteoarthritis may have some utility, but it should not be used as a routine treatment for all patients with knee osteoarthritis.

journal_name

Clin Orthop Relat Res

authors

Siparsky P,Ryzewicz M,Peterson B,Bartz R

doi

10.1097/BLO.0b013e31802fc18c

subject

Has Abstract

pub_date

2007-02-01 00:00:00

pages

107-12

eissn

0009-921X

issn

1528-1132

journal_volume

455

pub_type

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