Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Apr 5;3(3):e861-e866.
doi: 10.1016/j.asmr.2021.02.006. eCollection 2021 Jun.

Previous History of Knee Arthroscopy in Patients Undergoing Total Knee Arthroplasty: An Examination of the Effect of the Literature and American Academy of Orthopaedic Surgeons 2013 Arthroscopy Guidelines on Clinical Practice

Melissa A Kluczynski  1 , Griffin Lunn  1 , Matthew J Phillips  1 , John M Marzo  1
Affiliations

Previous History of Knee Arthroscopy in Patients Undergoing Total Knee Arthroplasty: An Examination of the Effect of the Literature and American Academy of Orthopaedic Surgeons 2013 Arthroscopy Guidelines on Clinical Practice

Melissa A Kluczynski et al. Arthrosc Sports Med Rehabil. .

Abstract

Purpose: To compare the rate of previous knee arthroscopy in patients undergoing total knee arthroplasty (TKA) before (2005-2006) and after (2018) publication of landmark studies that examined the effectiveness of knee arthroscopy as well as the American Academy of Orthopaedic Surgeons 2013 knee arthroscopy guidelines.

Methods: We performed a retrospective chart review of 214 patients who underwent a TKA between 2005 and 2006 (Group 1) and 213 patients who underwent a TKA in 2018 (Group 2). We reviewed medical records to determine whether previous knee arthroscopy was performed. Group comparisons were made using the t test for continuous data and the χ2 test for categorical data, and means ± standard deviation are presented.

Results: Patients in Group 2 were older than those in Group 1 (67.0 ± 8.3 vs 64.3 ± 11.5 years, P = .01); however, there were no differences between groups with respect to sex (P = .40), body mass index (P = .36), and laterality of TKA (P = .05). There was no difference in the history of previous knee arthroscopy between Groups 1 and 2 overall (27% vs 32%, P = .27) and within 10 years of TKA (17% vs 15%, P = .44).

Conclusions: We did not find a difference in the number of previous knee arthroscopies for patients undergoing TKA in 2018 versus 2005-2006. This suggests that the recommendations set forth by landmark clinical trials that examined the effectiveness of knee arthroscopy and the AAOS 2013 knee arthroscopy guidelines did not have a sudden impact within our geographic region, but there is some evidence to suggest a gradual shift in treatment, where knee arthroscopy is withheld near imminent knee arthroplasty.

Level of evidence: III, retrospective comparative study.

PubMed Disclaimer

Figures

Fig 1
Fig 1
Number of knee arthroscopies before total knee arthroplasty (TKA) by group. ∗2013 AAOS knee arthroscopy guidelines. Data are not mutually exclusive, since some patients had multiple knee arthroscopies.
Fig 2
Fig 2
(A) Number of knee arthroscopies before total knee arthroplasty (TKA) within 10 years of TKA for Group 1 (TKA 2005-2006). Data are not mutually exclusive (41 knee arthroscopies in 37 patients). (B) Number of knee arthroscopies before total knee arthroplasty (TKA) within 10 years of TKA for Group 2 (TKA 2018). Data are not mutually exclusive (32 knee arthroscopies in 31 patients).
See this image and copyright information in PMC

References

    1. Deshpande B.R., Katz J.N., Solomon D.H., et al. Number of persons with symptomatic knee osteoarthritis in the US: Impact of race and ethnicity, age, sex, and obesity. Arthritis Care Res (Hoboken) 2016;68:1743–1750. - PMC - PubMed
    1. Winter A.R., Collins J.E., Katz J.N. The likelihood of total knee arthroplasty following arthroscopic surgery for osteoarthritis: A systematic review. BMC Musculoskelet Disord. 2017;18:408. - PMC - PubMed
    1. Moseley J.B., O'Malley K., Petersen N.J., et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2002;347:81–88. - PubMed
    1. Kirkley A., Birmingham T.B., Litchfield R.B., et al. A randomized trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med. 2008;359:1097–1107. - PubMed
    1. American Academy of Orthopaedic Surgeons . 2nd ed. American Academy of Orthopaedic Surgeons; Rosemont, IL: 2013. Treatment of osteoarthritis of the knee: Evidence-based guideline. - PubMed