What question did this study set out to answer?

Evaluate the 5-year clinical and functional outcomes of arthroscopic partial meniscectomy compared with placebo sham surgery for degenerative meniscus lesions.

August 27, 2020British Journal of Sports MedicineOpen Access

Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial

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Authors

RSRaine SihvonenTampere University Hospital MPMika PaavolaUniversity of Helsinki AMAntti MalmivaaraUniversity of Helsinki

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Implication

Randomized trial evaluates five-year outcomes of arthroscopic partial meniscectomy in degenerative meniscus tears, indicating no sustained benefit over sham surgery.

Key Points

Evaluate the 5-year clinical and functional outcomes of arthroscopic partial meniscectomy compared with placebo sham surgery for degenerative meniscus lesions.
Randomized, double-blind, placebo-surgery-controlled trial conducted as the FIDELITY study (ClinicalTrials.gov NCT01052233 and NCT00549172).
Participants with symptomatic degenerative medial meniscus tears were assigned to receive either arthroscopic partial meniscectomy or sham arthroscopy.
Patients completed longitudinal clinical evaluations across a 5-year follow-up period.
Five-year follow-up assessments tracked knee pain, mechanical symptoms, overall function, and progression to joint osteoarthritis.
Arthroscopic partial meniscectomy demonstrated no superior symptom relief or functional improvement compared to the placebo surgery control group.

Cite This Study

Sihvonen et al. (2020) studied this question.

synapsesocial.com/papers/69daa7d68988aeabbe687343 https://doi.org/10.1136/bjsports-2020-102813

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Implication

Randomized trial evaluates five-year outcomes of arthroscopic partial meniscectomy in degenerative meniscus tears, indicating no sustained benefit over sham surgery.

Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial

Discussion

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Implication

Key Points

Cite This Study

Arthroscopic partial meniscectomy for a degenerative meniscus tear: a 5 year follow-up of the placebo-surgery controlled FIDELITY (Finnish Degenerative Meniscus Lesion Study) trial

Discussion

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Implication

Key Points

Cite This Study

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