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Home/Large Joints and Extremities/Study Finds Meniscus Surgery Linked to Osteoarthritis
Large Joints and Extremities

Study Finds Meniscus Surgery Linked to Osteoarthritis

January 5, 2015 1 min read Premium comments

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Study Finds Meniscus Surgery Linked to Osteoarthritis
Total knee replacement drawing by Vir Wellcome / Source: Wikimedia Commons and Virginia Powell
Secondary

Individuals who undergo surgery to repair tears in the meniscus cartilage in their knees often develop osteoarthritis in that knee within a year of the operation. That is the result of a study conducted by Frank Roemer, M.D., researcher and associate professor of radiology at Boston University School of Medicine.

Roemer observed radiographic-diagnosed osteoarthritis in 31 knees that had had meniscal surgery and in 58.9% of a group of 165 knees that had experienced meniscal damage. He found that the risk of cartilage loss was greatly increased for knees that had experienced any kind of meniscal damage.

All of the 31 knees that showed evidence of osteoarthritis were from patients who had undergone meniscus surgery—31 of 354 patients. Of those patients who did not have surgery for their meniscus tears none went on to develop osteoarthritis during the study period.

Roemer is quoted by MedPage Today as saying, “We found that in a group of patients without osteoarthritis, all knees that developed osteoarthritis within one year were among those patients who had meniscus surgery. We also observed that the risk for cartilage loss was much higher in patients who had knee surgery compared with those who had meniscus damage but did not have surgery.” Roemer said that how surgery on the meniscus could cause osteoarthritis “is not clearly understood.”

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Discussion

14
DS
Dr. Sarah MitchellOrthopedic Surgeon · Mayo Clinic

This is a fascinating development. In my practice we've seen similar outcomes with the revised protocol. The key differentiator seems to be patient selection criteria. Has anyone else noticed the correlation with BMI thresholds?

8
JT
James Thornton, MDSpine Fellow · HSS

Great point. I'd push back slightly on the conclusion, the sample size in the cited study is too small to draw population-level inferences. That said, the directional signal is compelling and worth a larger RCT.

5
RP
R. PatelSports Medicine · Stanford

We implemented a similar approach last year. Early results are promising but we're still gathering 12-month follow-up data. Happy to share our protocol if anyone is interested.

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