2008 - Studies Find Too Many Arhroscopic Knee Surgeries (Kliping)

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Studiesfind too many arthroscopic
kneesurgeries
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r,i"a",c"Lhr"."

oiotherdamage io the menrscus - a pair of cartilage pads
that acl as shock absorbe.s
between the upper and los'er
leg bones - with prevalencc
incrcasing with age.
But nearly two-thirds sho
had these knee cartilage rea6
had no pain or stiffness in th.

er neating tlan traaitional
surg€ry but can still tiigge.
blood clots, infection and

1vo studics calt inlo
nen'e or blood vesseldamage.
queshon whether manv .
Aboui onc nillion afthrop€ople with arth ri;
scopic kncc surgcdcs are done
Some exp€rts think the
in this coun!ty each yeat
c o s l i n g f o u g h l ! U S l j ? , 0 0 0 , increaseduse ofMRIj to diastlons ln Am(nca: Arrhroscop_ d e p e n d i n g o n t h e l o c a t i o n , nose knee problems could b€
1cknee surgo4..
when donc as an outpatient leading to unnecessar./sury,
One
- . . - . " ,finds
q.
u r t e r r ji s n o
t , r J , jsurger\
thar
eries or at leasi relerrals to
,
o e r t e rt h r i - r , t r L J r r , r , , . , 1
orthopedic surg€ons.

p b y s r c a lt h , r a p . rr . , ^ , 1 , , , " r
A l a r g cs t u d y i n 2 0 0 2 l o u n d
Surgery for that probleh
I n e p ! r n ! r t d s t i l f n e s su f m u ( 1 , lhe operalnn was no bette.
"probably isn't terribll. helDthan shan surgery but the
rul compared io just medicaother rc\-€rts that tcars rn
proced'rft remains popular.
ljon and physical therap!
Knee canrtage _ whrch ofton
Th€ ne$ sludy, done at the
saicl Dalid Ceier Jr. a
prompr such surgeries - arc
Universit! of westem Ontario
very common without causjn,r in Canada, includ€d nearly
fof th. American
symptoms.
200 patients with modemt€"pot"rln.n
Orthopaedrc Socrety for
to-sever€osteoarthriiis in the
. Er.?e!ts said the n€w stud_

res.and other evidence show
knee- Resealcheru gave halI
Rankin said the studies
anhroscopic knec surgcrr
medication, weekly phvsical
6 n o w - d r t h r l s c u p i c s u rg L r l
s t ' ] r h a s a p t a c e ,s u r h u s t f t e r
therapv for thne months and
o e n e r r t sp a l i e n l s w i t h m , t ( t c r
a recent lnjury, bui shouldn't
instruct'on on twice-daily
cases,$ho hav€ had arrhrilis
oe
done ,routinely
exercises to do at home. The
lor
symptoms for weeks or
osteoarthritis
other half got those treatmonrhs, not yeals, particutar_
m€nts, ptDs arthmscopic

_ l\ lot of people s,outd Dre
ly those with a recent kne
I F f p h y s i c a lt h e . a l , \ d n d t h e l
surgery
injurf,! and those wfth a major
doctors ivould rs \\.c11,"sai.l
Medications included anticarilag€ tear It isn,t for Deo_
Anthon\ Rrnkrn, .!rokcsm.
inflammatory &ugs. nlenol,
p l e w i t h a d v a n c e da r l h ; r r r s ,
r o r t h c A n r c r r c r n. . \ q r ( t c m !o i
elucosamine or chondroitin
who may need a padrat or
urlhopedi( SuDttun:
supplements and jnjections
total
knee
rcptacemenr.
oI a knee lubricant. TheRanlin said, but manv familv
The.studLess.ere pubt,shed

rapy included eaerises to
doctoN don'r reatize ihis
rccen y rn the .tvet, Ezotau d
sirenglhen knee muscles and
,
Many U.S. healrh itrurance
roumat ol Medi.,tia:"
hot and cold packs.
plans
don't cove. arthroscopic
Nearly 2? miltion Am€r
Aiter
two lears. both
knee surgery for peopLe\frrh
cans have osteoafth tis, a
groups of patients repo:1ed mro and
moderate arttuitis,
rop cause of disabjlitv. S\anD,
the sane pain levels,phrsrcal
according to Robert Zirkel_

toms usuatty oogin att"i ,ge
function and overall qualrtt
bach, spokesmanfor the rrade
+u ano prcgress as a break_
ol tife.
group
Americah
Health
down of cartilage on th€ end
Stud! co-autho! Brian Fea,
Insurance Plans. He said the
them to rub
gan, a professorat the Ontario
new findings could Leadmore
together at loLnts, Leadms
neaLth plans to tighten cover_
to stiffneds and pain and
tn" p;".
,-.i*"ity,
rDr.rng movement.

"o*t"a"a
q millority_oI
@due b€nefits
The Medicarc pro$am did
One popular soturion is
patients, those Mth mlro4r
io back in 2003,and the nm_
anhoscopic sugerv, jn \,hich
synptoms or lalge meniscus
ber oi prccedws ir paid for
a scopewltha miniature cam_ :
plunged ?7 percent within
€Ia rs uNerted ituough a tiny
other
study,
In
ihe
lnclslon and sureennsoperate _
at Boston Unilerrcsearchers
through olher hny cuts. Sru_

sity School of Mediche and
geons tt?icaU\ smooth dam_ |
elsewhere eramined MRI
aged cart age surfaceson the "
knee scans ftom 991 mndom4: !o, iatdt kadhen

tun. N.|.hs

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