Support from current guidance for arthroscopic surgery in patients with subgroups of degenerative knee disease
Lavage or debridement | Partial meniscectomy for meniscal tears | ||||
Patients with radiographic osteoarthritis | Patients without radiographic osteoarthritis | Patients with mechanical symptoms | Patients with evidence of osteoarthritis | Patients without evidence of osteoarthritis | |
AAOS24 | Against | Supportive | Supportive | Supportive | Supportive |
NICE25 26 | Against | Against | For | No comment | No comment |
BOA27* | Against | For | For | No comment | For |
AOA28* | Against | No comment | No comment | Against | For |
OARSI29 30 | Against | No comment | No comment | Supportive | No comment |
For= Explicit statement that arthroscopy should be performed in some patients.
Against= Explicit statement that arthroscopy should not be performed in some patients.
Supportive= Seemingly supportive of arthroscopy in some contexts.
*Official statement, not guidelines.
AAOS, American Academy of Orthopaedic Surgeons; AOA, Australian Orthopaedic Association; BOA, British Orthopaedic Association; ESSKSA, European Society for Sports Traumatology, Knee Surgery and Arthroscopy; NICE, National Institute of Health and Care Extdence; OARSI Osteoarthritis Research Society International.