4271 Bupa Medical Poster Orthopaedic_v7 (2)

NEJM sham surgery RCT

http://www.nejm.org/doi/full/10.1056/NEJMoa013259

further trial with control group having maximum medical/physiotherapy

http://www.nejm.org/doi/full/10.1056/NEJMoa0708333#t=articleBackground

RCT physiotherapy vs surgery for moderate-severe arthritis of knee

http://www.nejm.org/doi/full/10.1056/NEJMoa0708333

surgery vs physiotherapy for mild-moderate osteoarthritis or meniscal tear

http://www.nejm.org/doi/full/10.1056/NEJMoa1301408#t=articleMethods

Arthroscopic surgery for degenerative knee changes : real vs sham , www.nejm.org/doi/full/10.1056/NEJMoa1305189

Meniscal tears are commonly asymptomatic

N Engl J Med 2008; 359:1108-1115September 11, 2008DOI: 10.1056/NEJMoa0800777

Cochrane reviews

http://www.cochrane.org/CD005118/MUSKEL_arthroscopic-debridement-for-osteoarthritis-of-the-knee

NICE guidance

https://www.nice.org.uk/guidance/ipg230/chapter/1-guidance

New BMJ systematic review

http://www.bmj.com/content/350/bmj.h2747

Canadian review

http://www.cmaj.ca/content/186/14/1057.long

variability of use across Scotland (2010)

http://www.ncbi.nlm.nih.gov/pubmed/20400024

Australian use over time

Click to access boh11645_fm.pdf

declining in UK

http://www.thekneejournal.com/article/S0968-0160(14)00041-6/abstract