To provide a reference framework for the management of degenerative meniscus lesions (DMLs) based on scientific literature and expert opinion, addressing the gap between clinical practice and evidence.
Key Findings:
DMLs are common in older populations, with prevalence increasing with age.
Arthroscopic partial meniscectomy (APM) has shown no additional benefit compared to non-operative treatment in several RCTs, raising concerns about its overuse.
There is a growing incidence of surgical procedures for DMLs despite evidence favoring conservative management, indicating a need for reevaluation of treatment practices.
Interpretation:
The consensus highlights a discrepancy between clinical practice and RCT findings, emphasizing the need for a balanced approach in treating DMLs and encouraging clinicians to consider conservative options first.
Limitations:
The consensus is not a systematic literature review, which may limit its comprehensiveness.
RCTs may be biased due to patient treatment changes during studies, such as early surgical interventions.
Conclusion:
A uniform consensus is necessary to guide clinical decision-making and potentially reduce unnecessary surgical interventions for DMLs, urging clinicians to adopt evidence-based practices.
