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A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee
by
Wong, Cindy J
, Feagan, Brian G
, Willits, Kevin R
, Donner, Allan
, Kirkley, Alexandra
, Birmingham, Trevor B
, Griffin, Sharon H
, Pope, Janet E
, Giffin, J. Robert
, D'Ascanio, Linda M
, Fowler, Peter J
, Litchfield, Robert B
in
Acetaminophen - therapeutic use
/ Analgesics, Non-Narcotic - therapeutic use
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Arthritis
/ Arthroscopy
/ Biological and medical sciences
/ Chondroitin Sulfates - therapeutic use
/ Clinical outcomes
/ Clinical trials
/ Combined Modality Therapy
/ Comparative studies
/ Drug Therapy, Combination
/ Endoscopy
/ Female
/ General aspects
/ Glucosamine - therapeutic use
/ Humans
/ Hyaluronic Acid - administration & dosage
/ Injections, Intra-Articular
/ Investigative techniques, diagnostic techniques (general aspects)
/ Knee
/ Male
/ Medical sciences
/ Middle Aged
/ Osteoarthritis, Knee - drug therapy
/ Osteoarthritis, Knee - surgery
/ Osteoarthritis, Knee - therapy
/ Physical Therapy Modalities
/ Severity of Illness Index
/ Surgery
/ Therapeutic Irrigation
/ Treatment Outcome
2008
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A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee
by
Wong, Cindy J
, Feagan, Brian G
, Willits, Kevin R
, Donner, Allan
, Kirkley, Alexandra
, Birmingham, Trevor B
, Griffin, Sharon H
, Pope, Janet E
, Giffin, J. Robert
, D'Ascanio, Linda M
, Fowler, Peter J
, Litchfield, Robert B
in
Acetaminophen - therapeutic use
/ Analgesics, Non-Narcotic - therapeutic use
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Arthritis
/ Arthroscopy
/ Biological and medical sciences
/ Chondroitin Sulfates - therapeutic use
/ Clinical outcomes
/ Clinical trials
/ Combined Modality Therapy
/ Comparative studies
/ Drug Therapy, Combination
/ Endoscopy
/ Female
/ General aspects
/ Glucosamine - therapeutic use
/ Humans
/ Hyaluronic Acid - administration & dosage
/ Injections, Intra-Articular
/ Investigative techniques, diagnostic techniques (general aspects)
/ Knee
/ Male
/ Medical sciences
/ Middle Aged
/ Osteoarthritis, Knee - drug therapy
/ Osteoarthritis, Knee - surgery
/ Osteoarthritis, Knee - therapy
/ Physical Therapy Modalities
/ Severity of Illness Index
/ Surgery
/ Therapeutic Irrigation
/ Treatment Outcome
2008
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A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee
by
Wong, Cindy J
, Feagan, Brian G
, Willits, Kevin R
, Donner, Allan
, Kirkley, Alexandra
, Birmingham, Trevor B
, Griffin, Sharon H
, Pope, Janet E
, Giffin, J. Robert
, D'Ascanio, Linda M
, Fowler, Peter J
, Litchfield, Robert B
in
Acetaminophen - therapeutic use
/ Analgesics, Non-Narcotic - therapeutic use
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Arthritis
/ Arthroscopy
/ Biological and medical sciences
/ Chondroitin Sulfates - therapeutic use
/ Clinical outcomes
/ Clinical trials
/ Combined Modality Therapy
/ Comparative studies
/ Drug Therapy, Combination
/ Endoscopy
/ Female
/ General aspects
/ Glucosamine - therapeutic use
/ Humans
/ Hyaluronic Acid - administration & dosage
/ Injections, Intra-Articular
/ Investigative techniques, diagnostic techniques (general aspects)
/ Knee
/ Male
/ Medical sciences
/ Middle Aged
/ Osteoarthritis, Knee - drug therapy
/ Osteoarthritis, Knee - surgery
/ Osteoarthritis, Knee - therapy
/ Physical Therapy Modalities
/ Severity of Illness Index
/ Surgery
/ Therapeutic Irrigation
/ Treatment Outcome
2008
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A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee
Journal Article
A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee
2008
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Overview
This randomized trial showed no benefit of the addition of arthroscopic treatment to optimized physical and medical therapy and provided evidence that arthroscopic surgery is not indicated for the treatment of osteoarthritis of the knee.
This trial showed no benefit of the addition of arthroscopic treatment to optimized physical and medical therapy and provided evidence that arthroscopic surgery is not indicated for the treatment of osteoarthritis of the knee.
Osteoarthritis of the knee is a degenerative disease that causes joint pain, stiffness, and decreased function.
1
–
3
Treatment is multidisciplinary and involves physical therapy, medication, and surgery. Arthroscopic surgery, in which an arthroscope is inserted into the knee joint, allows for lavage, a procedure that removes particulate material such as cartilage fragments and calcium crystals. It also allows for débridement, whereby articular surfaces and osteophytes can be surgically smoothed. The goal of this procedure is to reduce synovitis and eliminate mechanical interference with joint motion.
Although arthroscopic surgery has been widely used for osteoarthritis of the knee, scientific evidence to . . .
Publisher
Massachusetts Medical Society
Subject
Acetaminophen - therapeutic use
/ Analgesics, Non-Narcotic - therapeutic use
/ Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
/ Biological and medical sciences
/ Chondroitin Sulfates - therapeutic use
/ Female
/ Glucosamine - therapeutic use
/ Humans
/ Hyaluronic Acid - administration & dosage
/ Investigative techniques, diagnostic techniques (general aspects)
/ Knee
/ Male
/ Osteoarthritis, Knee - drug therapy
/ Osteoarthritis, Knee - surgery
/ Osteoarthritis, Knee - therapy
/ Surgery
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