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Arthroscopic Debridement of the Knee in the Presence of Osteoarthritis

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Management of Knee Osteoarthritis in the Younger, Active Patient

Abstract

This chapter presents evidence to help answer the question as to whom, if anyone, with knee arthritis should undergo knee arthroscopy and provides recommendations on alternative treatments.

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References

  1. Haggart GE. The surgical treatment of degenerative arthritis of the knee joint. J Bone Joint Surg. 1940;22(3):717–29.

    Google Scholar 

  2. Haggart GE. Surgical treatment of degenerative arthritis of the knee joint. N Engl J Med. 1947;236(26):971–3.

    Article  CAS  PubMed  Google Scholar 

  3. Magnuson PB. Joint debridement. Surgical treatment of degenerative arthritis. J Surg Gynecol Obstet. 1941;73:1–9.

    Google Scholar 

  4. Pridie K. A method of resurfacing knee joints: proceedings of the British Orthopaedic Association. J Bone Joint Surg Br. 1959;41:618.

    Google Scholar 

  5. Insall JN. Intra-articular surgery for degenerative arthritis of the knee. A report of the work of the late K. H. Pridie. J Bone Joint Surg Br. 1967;49(2):211–28.

    CAS  PubMed  Google Scholar 

  6. Wai EK, Kreder HJ, Williams JI. Arthroscopic debridement of the knee for osteoarthritis in patients fifty years of age or older: utilization and outcomes in the Province of Ontario. J Bone Joint Surg Am. 2002;84-A(1):17–22.

    Article  PubMed  Google Scholar 

  7. Hawker G, Guan J, Judge A, Dieppe P. Knee arthroscopy in England and Ontario: patterns of use, changes over time, and relationship to total knee replacement. J Bone Joint Surg Am. 2008;90(11):2337–45.

    Article  PubMed  Google Scholar 

  8. Dearing J, Brenkel IJ. Incidence of knee arthroscopy in patients over 60 years of age in Scotland. Surgeon. 2010;8(3):144–50.

    Article  PubMed  Google Scholar 

  9. Harris IA, Madan NS, Naylor JM, Chong S, Mittal R, Jalaludin BB. Trends in knee arthroscopy and subsequent arthroplasty in an Australian population: a retrospective cohort study. BMC Musculoskelet Disord. 2013;14(1):143.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Bohensky MA, Sundararajan V, Andrianopoulos N, de Steiger RN, Bucknill A, Kondogiannis CM, McColl G, Brand CA. Trends in elective knee arthroscopies in a population-based cohort, 2000–2009. Med J Aust. 2012;197(7):399–403.

    Article  PubMed  Google Scholar 

  11. Livesley P, Doherty M, Needoff M, Moulton A. Arthroscopic lavage of osteoarthritic knees. J Bone Joint Surg Br Vol. 1991;73-B(6):922–6.

    Google Scholar 

  12. Jackson RW, Dieterichs C. The results of arthroscopic lavage and debridement of osteoarthritic knees based on the severity of degeneration. Arthroscopy. 2003;19(1):13–20.

    Article  PubMed  Google Scholar 

  13. Kalunian K, Moreland L, Klashman D, Brion P, Concoff A, Myers S, Singh R, Ike R, Seeger L, Rich E. Visually-guided irrigation in patients with early knee osteoarthritis: a multicenter randomized, controlled trial. Osteoarthritis Cartilage. 2000;8(6):412–8.

    Article  CAS  PubMed  Google Scholar 

  14. Reichenbach S, Rutjes AW, Nüesch E, Trelle S, Jüni P. Joint lavage for osteoarthritis of the knee. Cochrane Database Syst Rev. 2010;12(5):1–45.

    Google Scholar 

  15. Baumgaertner MR, Cannon WD, Vittori JM, Schmidt ES, Maurer RC. Arthroscopic debridement of the arthritic knee. Clin Orthop Relat Res. 1990;253:197–202.

    Google Scholar 

  16. Harwin SF. Arthroscopic debridement for osteoarthritis of the knee: predictors of patient satisfaction. Arthroscopy. 1999;15(2):142–6.

    Article  CAS  PubMed  Google Scholar 

  17. Hubbard M. Articular debridement versus washout for degeneration of the medial femoral condyle. A five-year study. J Bone Joint Surg Br Vol. 1996;78(2):217–9.

    CAS  Google Scholar 

  18. McGinley BJ, Cushner FD, Scott WN. Debridement arthroscopy 10-year followup. Clin Orthop Relat Res. 1999;367:190–4.

    Article  Google Scholar 

  19. McLaren A, Blokker C, Fowler P, Roth J, Rock M. Arthroscopic debridement of the knee for osteoarthrosis. Canadian J Surg J Canadien de chirurgie. 1991;34(6):595–8.

    CAS  Google Scholar 

  20. Shannon F, Devitt A, Poynton A, Fitzpatrick P, Walsh M. Short-term benefit of arthroscopic washout in degenerative arthritis of the knee. Int Orthop. 2001;25(4):242–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Sprague NF. Arthroscopic debridement for degenerative knee joint disease. Clin Orthop Relat Res. 1981;160:118–23.

    Google Scholar 

  22. Timoney J, Kneisl J, Barrack R, Alexander A. Arthroscopy update# 6. Arthroscopy in the osteoarthritic knee. Long-term follow-up. Orthop Rev. 1990;19(4):371–3. 376–379.

    CAS  PubMed  Google Scholar 

  23. Fond J, Rodin D, Ahmad S, Nirschl RP. Arthroscopic debridement for the treatment of osteoarthritis of the knee: 2-and 5-year results. Arthroscopy. 2002;18(8):829–34.

    Article  PubMed  Google Scholar 

  24. Dervin GF, Stiell IG, Rody K, Grabowski J. Effect of arthroscopic débridement for osteoarthritis of the knee on health-related quality of life*. J Bone Joint Surg. 2003;85(1):10–9.

    Article  PubMed  Google Scholar 

  25. Chang RW, Falconer J, David Stulberg S, Arnold WJ, Manheim LM, Dyer AR. A randomized, controlled trial of arthroscopic surgery versus closed-needle joint lavage for patients with osteoarthritis of the knee. Arthritis Rheum. 1993;36(3):289–96.

    Article  CAS  PubMed  Google Scholar 

  26. Moseley JB, O’Malley K, Petersen NJ, Menke TJ, Brody BA, Kuykendall DH, Hollingsworth JC, Ashton CM, Wray NP. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2002;347(2):81–8.

    Article  PubMed  Google Scholar 

  27. Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D’Ascanio LM. A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2008;359(11):1097–107.

    Article  CAS  PubMed  Google Scholar 

  28. Laupattarakasem W, Laopaiboon M, Laupattarakasem P, Sumananont C. Arthroscopic debridement for knee osteoarthritis. Cochrane Database Syst Rev. 2008;23(1):1–32.

    Google Scholar 

  29. Sihvonen R, Paavola M, Malmivaara A, Itälä A, Joukainen A, Nurmi H, Kalske J, Järvinen TL. Arthroscopic partial meniscectomy versus sham surgery for a degenerative meniscal tear. N Engl J Med. 2013;369(26):2515–24.

    Article  CAS  PubMed  Google Scholar 

  30. Herrlin S, Hallander M, Wange P, Weidenhielm L, Werner S. Arthroscopic or conservative treatment of degenerative medial meniscal tears: a prospective randomised trial. Knee Surg Sports Traumatol Arthrosc. 2007;15(4):393–401.

    Article  PubMed  Google Scholar 

  31. Herrlin SV, Wange PO, Lapidus G, Hallander M, Werner S, Weidenhielm L. Is arthroscopic surgery beneficial in treating non-traumatic, degenerative medial meniscal tears? A five year follow-up. Knee Surg Sports Traumatol Arthrosc. 2013;21(2):358–64.

    Article  PubMed  Google Scholar 

  32. Conaghan PG, Dickson J, Grant RL. Guidelines: care and management of osteoarthritis in adults: summary of NICE guidance. BMJ. 2008;336(7642):502.

    Article  PubMed  PubMed Central  Google Scholar 

  33. NICE National Institute for Health and Care Excellence osteoarthritis: care and management in adults. NICE clinical guideline 117. February 2014.

    Google Scholar 

  34. Jevsevar DS. Treatment of osteoarthritis of the knee: evidence-based guideline. J Am Acad Orthop Surg. 2013;21(9):571–6.

    PubMed  Google Scholar 

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Correspondence to Myles R. J. Coolican MD, FRACS .

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Coolican, M.R.J., Dhurve, K. (2016). Arthroscopic Debridement of the Knee in the Presence of Osteoarthritis. In: Parker, D. (eds) Management of Knee Osteoarthritis in the Younger, Active Patient. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-48530-9_4

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  • DOI: https://doi.org/10.1007/978-3-662-48530-9_4

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-48528-6

  • Online ISBN: 978-3-662-48530-9

  • eBook Packages: MedicineMedicine (R0)

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