Knee arthroscopy – Inside Health 21/7/15

4271 Bupa Medical Poster Orthopaedic_v7 (2)

NEJM sham surgery RCT

further trial with control group having maximum medical/physiotherapy

RCT physiotherapy vs surgery for moderate-severe arthritis of knee

surgery vs physiotherapy for mild-moderate osteoarthritis or meniscal tear

Arthroscopic surgery for degenerative knee changes : real vs sham ,

Meniscal tears are commonly asymptomatic

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

Cochrane reviews

NICE guidance

New BMJ systematic review

Canadian review

variability of use across Scotland (2010)

Australian use over time

declining in UK


2 Responses to “Knee arthroscopy – Inside Health 21/7/15”

  1. ted willis August 10, 2015 at 8:30 pm #

    and how about a blog on the way the cochrane review of hyaluronic acid injections is positive and yet NICE ‘do not recommend it ‘ as ‘unlikely’ to be cost effective. see

    The increasing demand for knee replacements: a hostage to fortune

    Edmund Willis
    DOI: 10.3399/bjgp15X683293 Published 1 January 2015

  2. Omar November 11, 2015 at 7:46 am #

    this reminds me of a siailmr study mandated and published by the Swiss Department of Health. The study included “loss of productivity” for those who die before having reached the age of retirement. For the purpose of the study, the age of retirement was set to 74 years. Since the age of retirement in Switzerland is 65, they included house hold chores, such us cleaning, vacuuming and ironing as productive work (who needs to iron shirts in heaven?)But nonetheless they were honest enough to deduct the taxes payed by smokers and to declare a net gain for society.