TY - JOUR T1 - Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline JF - British Journal of Sports Medicine JO - Br J Sports Med SP - 313 LP - 313 DO - 10.1136/bjsports-2017-j1982rep VL - 52 IS - 5 AU - Reed A C Siemieniuk AU - Ian A Harris AU - Thomas Agoritsas AU - Rudolf W Poolman AU - Romina Brignardello-Petersen AU - Stijn Van de Velde AU - Rachelle Buchbinder AU - Martin Englund AU - Lyubov Lytvyn AU - Casey Quinlan AU - Lise Helsingen AU - Gunnar Knutsen AU - Nina Rydland Olsen AU - Helen Macdonald AU - Louise Hailey AU - Hazel M Wilson AU - Anne Lydiatt AU - Annette Kristiansen Y1 - 2018/03/01 UR - http://bjsm.bmj.com/content/52/5/313.abstract N2 - What you need to knowWe make a strong recommendation against the use of arthroscopy in nearly all patients with degenerative knee disease, based on linked systematic reviews; further research is unlikely to alter this recommendationThis recommendation applies to patients with or without imaging evidence of osteoarthritis, mechanical symptoms, or sudden symptom onsetHealthcare administrators and funders may use the number of arthroscopies performed in patients with degenerative knee disease as an indicator of quality care.Knee arthroscopy is the most common orthopaedic procedure in countries with available dataThis Rapid Recommendation package was triggered by a randomised controlled trial published in The BMJ in June 2016 which found that, among patients with a degenerative medial meniscus tear, knee arthroscopy was no better than exercise therapyWhat is the role of arthroscopic surgery in degenerative knee disease? An expert panel produced these recommendations based on a linked systematic review triggered by a randomised trial published in The BMJ in June 2016, which found that, among patients with a degenerative medial meniscus tear, knee arthroscopy was no better than exercise therapy. The panel make a strong recommendation against arthroscopy for degenerative knee disease. Box 1 shows all of the articles and evidence linked in this Rapid Recommendation package. The infographic provides an overview of the absolute benefits and harms of arthroscopy in standard GRADE format. Table 1 below shows any evidence that has emerged since the publication of this article.Box 1 Linked articles in this BMJ Rapid Recommendations clusterSiemieniuk RAC, Harris IA, Agoritsas T, et al. Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline. BMJ 2017;257:j1982. doi:10.1136/bmj.j1982Summary of the results from the Rapid Recommendation processBrignardello-Peterson R, Guyatt GH, Schandelmaier S, et al. Knee arthroscopy versus conservative management in patients with degenerative knee disease: a … ER -