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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.11
- 수록면
- 1 - 14 (14page)
- DOI
- 10.3346/jkms.2021.36.e292
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초록· 키워드
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Background: Meniscal tears are commonly observed in patients with knee osteoarthritis (OA), however, clinical significance of such lesions detected by magnetic resonance imaging is in many cases unclear. This study aimed to determine the clinical effectiveness of arthroscopic partial meniscectomy (APM) compared with non-operative care in patients with knee OA.
Method: We used existing systematic reviews with updates of latest studies. Three randomized controlled studies were selected, where two studies compared the effects of APM plus physical therapy (PT) with PT alone and one compared APM alone and PT alone. While 1 study exclusively included OA patients, 2 studies included 21.1 and 12% of patients with no radiographic OA. Patients with knee locking were unanimously excluded.
Results: Upon comparison of APM plus PT and PT alone, there was no significant difference observed in knee function, physical activity, or adverse events. Knee pain was observed to be significantly lower in the APM plus PT group at 6 months, but there was no difference between the two groups at 12 and 24 months. With respect to the comparison between APM alone and PT alone, PT was non-inferior based on the criteria for knee function during 24 months; however, knee pain was significantly reduced in the APM alone group.
Conclusions: Our study showed that knee pain was significantly improved in the APM group compared to non-operative care group at 6 months and over 24 months. Our result was based on only 3 randomized controlled trials (RCTs) revealing a significant knowledge gap, hence demanding more high-quality RCTs in OA patients.
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참고문헌 (25)
참고문헌 신청
김인제 / 2010 / The Prevalence of Knee Osteoarthritis in Elderly Community Residents in Korea / Journal of Korean Medical Science 25(2):293~298
김인제 / 2011 / Prevalence of Knee Pain and Its Influence on Quality of Life and Physical Function in the Korean Elderly Population: A Community Based Cross-Sectional Study / Journal of Korean Medical Science 26(9):1140~1146
Nguyen JC / 2014 / MR imaging-based diagnosis and classification of meniscal tears / Radiographics 34(4):981~999
Englund M / 2008 / Incidental meniscal findings on knee MRI in middle-aged and elderly persons / N Engl J Med 359(11):1108~1115
Kim HA / 2011 / The association between meniscal and cruciate ligament damage and knee pain in community residents / Osteoarthritis Cartilage 19(12):1422~1428
김인제 / 2011 / Prevalence of Knee Pain and Its Influence on Quality of Life and Physical Function in the Korean Elderly Population: A Community Based Cross-Sectional Study / Journal of Korean Medical Science 26(9):1140~1146
Nguyen JC / 2014 / MR imaging-based diagnosis and classification of meniscal tears / Radiographics 34(4):981~999
Englund M / 2008 / Incidental meniscal findings on knee MRI in middle-aged and elderly persons / N Engl J Med 359(11):1108~1115
Kim HA / 2011 / The association between meniscal and cruciate ligament damage and knee pain in community residents / Osteoarthritis Cartilage 19(12):1422~1428
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