Radiographic Changes Five Years After Treatment of Meniscal Tear and Osteoarthritic Changes
Authors' conclusion
Subjects treated with APM had greater progression in the OARSI score because of osteophyte progression but not in the KL grade.
Study context
- Population
- Subjects aged 45–85 years with meniscal tear, OA changes and knee pain enrolled in a seven-center randomized trialanalysed
- Participants
- 142 subjects
- Comparison
- Arthroscopic partial meniscectomy (APM) vs physical therapy (PT) for meniscal tear with OA changes
- APMn = 100
- PTn = 42reference
Methodological detailsmulticentre (seven centres), as-treated primary analysis, propensity score with inverse probability weighting (IPW), sensitivity analysis by randomisation group
- Multicentre (seven centres)
- As-treated primary analysis
- Propensity score with inverse probability weighting (IPW)
- Sensitivity analysis by randomisation group
Primary result
As reported in the abstract
Increase in OARSI radiographic score · 60 months
APM
4.1
mean · 95% CI 3.5–4.7
PT
2.4
mean · 95% CI 1.7–3.2
P < 0.001
Further findings
Mean
| Outcome | APM | PT |
|---|---|---|
| Baseline OARSI radiographic score (weighted) | 3.8 (SD 3.5) | 4.0 (SD 4.9) |
Sensitivity analysis by randomization group
- Similar findings to the primary analysis
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Radiographic Changes Five Years After Treatment of Meniscal Tear and Osteoarthritic Changes. Arthritis Care Res (Hoboken). Published 4 October 2023. doi:10.
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