Journal Article

Arthroscopic partial meniscectomy versus exercise therapy for degenerative meniscal tears: 10-year follow-up of the OMEX randomised controlled trial

Risberg, May Arna, Berg, Bjørnar, Engebretsen, Lars, Roos, Ewa M, Englund, Martin, Eftang, Cathrine Nørstad, Kise, Nina Jullum

2025

Overview

ObjectiveTo evaluate radiographic knee osteoarthritis (OA) progression, development of knee OA, patient-reported outcomes and knee muscle strength at 10-year follow-up after arthroscopic partial meniscectomy (APM) or exercise therapy for degenerative meniscal tears.MethodsRandomised controlled trial including 140 participants, with a degenerative meniscal tear and no or minimal radiographic OA changes. Participants were randomised to either APM or 12 weeks of exercise therapy (1:1 ratio). The primary outcome was knee OA progression assessed by the Osteoarthritis Research Society International (OARSI) atlas sum score (sum of medial and lateral compartment joint space narrowing and osteophyte score). Secondary outcomes included incidence of radiographic and symptomatic knee OA, patient-reported pain and knee function and isokinetic knee muscle strength.ResultsThe adjusted mean difference in change in the OARSI sum score was 0.39 (95% CI −0.19 to 0.97), with more progression in the APM group. The incidence of radiographic knee OA was 23% in the APM group and 20% in the exercise group (adjusted risk difference 3% (95% CI −13% to 19%)). No clinically relevant differences were found in patient-reported outcomes or isokinetic knee muscle strength.ConclusionNo differences in radiographic knee OA progression and comparable rates of knee OA development were observed 10 years following APM and exercise therapy for degenerative meniscal tears. Both treatments were associated with improved patient-reported pain and knee function.Trial registration number NCT01002794.

• Publisher: BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine,BMJ Publishing Group LTD
• Subject: Activities of daily living / Adult / Aged / Arthroscopy / Clinical Medicine / Clinical outcomes / Clinics / Data collection / Disease Progression / Exercise / Exercise Therapy - methods / Female / Follow-Up Studies / Health risks / Humans / Klinisk medicin / Knee / Knee Joint - physiopathology / Male / Medical and Health Sciences / Medicin och hälsovetenskap / Meniscectomy / Middle age / Middle Aged / Multiculturalism & pluralism / Muscle strength / Muscle Strength - physiology / Original research / Orthopaedics / Orthopedics / Ortopedi / Osteoarthritis / Osteoarthritis, Knee - therapy / Patient assessment / Patient Reported Outcome Measures / Physical therapy / Primary care / Questionnaires / Radiography / Surgery / Tibial Meniscus Injuries - surgery / Tibial Meniscus Injuries - therapy