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Common knee surgery may do more harm than good, 10-year study shows

Common knee surgery may do more harm than good, 10-year study shows

Summary

A 10-year Finnish study found that a common knee surgery to trim damaged cartilage does not help middle-aged or older patients with knee pain and may cause faster arthritis and more surgeries. The study suggests physical therapy as a safer first option, and surgery should be considered only carefully.

Key Facts

  • The study followed patients for 10 years after either real knee surgery or fake surgery with only a skin incision.
  • Patients having the actual surgery showed worse pain and faster arthritis progression compared to those who did not.
  • The study focused on people with degenerative cartilage tears, common in those over 50, not injuries from accidents.
  • Similar procedures in Finland have dropped by 90%, while U.S. rates have decreased more slowly, about 4% per year.
  • Medicare data shows knee surgeries decreased from about 169,000 in 2014 to 91,000 in 2024.
  • Experts recommend trying physical therapy before considering surgery for degenerative meniscus tears.
  • Regional differences exist in U.S. surgery rates, with more surgeries in the South than the Northeast.
  • A European and U.S. orthopedic committee says either surgery or non-surgical treatment can work, but physical therapy should come first.
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