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Arthroscopic surgery for knee arthritis found to be useless (once again).

Publication: HealthFacts
Publication Date: 01-OCT-08
Format: Online
Delivery: Immediate Online Access
Full Article Title: Arthroscopic surgery for knee arthritis found to be useless (once again).(Clinical report)

Article Excerpt
Arthroscopic surgery is no better than conservative treatment for people with knee osteoarthritis. This was shown in a 2002 clinical trial, and now a new trial has produced the same result. Will it change anything? Will people be told that surgery provides no advantage over drug treatment and physical therapy? Are there any exceptions?

These are just a few of the questions raised by two studies published in The New England Journal of Medicine. The backstory for their findings are the advances in fiberoptics and instrumentation that have made knee procedures much easier and safer to perform than an open-incision operation. And advances in imaging, specifically MRI scans, can mislead doctors into seeing a tear in the knee cartilage as reason enough to perform surgery for someone with knee pain. Add the lack of any requirement for scientific proof that an operation is effective before it becomes widespread and what Americans get as a result is a lot of unnecessary knee surgery.

Sometimes referred to as "keyhole surgery,"...

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