Exercise therapy is as effective at improving knee function as arthroscopic partial meniscectomy for middle-aged patients with degenerative meniscal tears, according to a trial that compared the 2 interventions (Kise NJ et al. BMJ.doi:10.1136/bmj.i3740 [published online July, 20, 2016]). In Western countries, 300 in 100 000 people undergo arthroscopic surgery for meniscal tears annually, despite lack of compelling evidence that surgery is advantageous. This trial compared exercise therapy alone with arthroscopic surgery alone in patients without knee osteoarthritis and who were younger and more fit than participants in previous studies.
Slomski A. Surgery No Benefit to Patients With Meniscal Tears. JAMA. 2016;316(12):1250. doi:10.1001/jama.2016.12223