Practice Patterns for Arthroscopy of Osteoarthritis of the Knee in the United States
Conclusion: Knee arthroscopy for patients with osteoarthritis among orthopaedic surgeons during their ABOS examination case collection period has decreased after the publication of a highly publicized article demonstrating a lack of efficacy of this procedure. Further study is needed to determine if this change occurred in the orthopaedic community at large or if practice patterns only changed for surgeons during their board collection periods.
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"Clean up" for osteoarthritis of the knee should largely not be done. The only exception in my practice is when a patient has joint space remaining between the shin bone and thigh bone as viewed on the Rosenberg View, and the pain is reproducible and mechanical. If pain is constant and no joint space is remaining, "bone on bone" the knee arthroscopy can make the problem worse......Very unhappy patient!!
ReplyDeleteSounds very interesting! I will check this out! osteo arthritis
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