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Surgery Does Not Improve Long-Term Outcomes in Degenerative Meniscus Tears

British Journal of Sports Medicine (2020) · Raine Sihvonen, Mika Paavola, Antti Malmivaara, Ari Itälä, Antti Joukainen, Juha Kalske, Heikki Nurmi, Jaanika Kumm, Niko Sillanpää, Tommi Kiekara, Aleksandra Turkiewicz, Pirjo Toivonen, Martin Englund, Simo Taimela, Teppo L N Järvinen

Full Title

Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY trial

Summary

This 5-year follow-up of the FIDELITY randomized, placebo-surgery controlled trial assessed the long-term effects of arthroscopic partial meniscectomy (APM) in 146 adults with degenerative medial meniscus tears. Compared to placebo surgery, APM showed no benefit in knee symptoms, function, or pain reduction, but was associated with a slightly higher risk of radiographic knee osteoarthritis. The findings suggest that APM does not offer long-term advantages and may accelerate joint degeneration in this population.

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