Decision support only. Not medical advice. Consult a licensed clinician before initiating or changing therapy.

Patient 021

58y·male·white·ASCVD 4.2%

1 active reversal flag

  1. OrthopedicsModerate

    Arthroscopic partial meniscectomy for degenerative knee OA

    Why flagged

    Arthroscopic meniscectomy referral for knee OA patient age 58 with Kellgren-Lawrence grade 2; Moseley 2002 sham RCT showed no benefit over placebo.

    1. Prior guidance2002

      Routine arthroscopic debridement and partial meniscectomy for pain relief in degenerative knee osteoarthritis.

    2. Moseley2002

      Sham-controlled surgery showed no benefit over placebo or physical therapy in pain or functional outcomes at 2 years.

    3. Reversal2022

      Guidelines updated

    4. Current recommendation

      AAOS Guidelines: Non-operative management (physical therapy, NSAIDs, weight loss) is strongly recommended over arthroscopy for patients with degenerative meniscal tears and OA.