Best Practice: Highlights from Dr. Richard Kendall’s recent article for UBC Continuing Education Professional Development

Is arthroscopy effective in the treatment of arthritis or degenerative meniscal tears of the knee?

Data analysis suggests no additional benefits from surgical intervention compared to physical therapy. Treatment for the symptomatic knee may include: Activity modification, medication, weight loss and Active Physiotherapy.

Physiotherapy would include: A detailed assessment, electrotherapy including Low Level Laser Therapy. Range of motion and strengthening exercises including a self directed home program to be performed daily.

There continues to be an important role for arthroscopy in the treatment of traumatic meniscal tears, chondral or ligament injuries.

Katz JN, Brophy RH, Chaisson CE et al. Surgery versus Physical Therapy for a Mensical Tear and Osteoarthritis. NEJM 2013; 368(18): 1675-84.