No APM study should go without citing sham or physiotherapy controlled RCTs

Beletsky et al. conclude in their study: The majority of patients undergoing APM achieve benefit within 6 months of surgery, with diminishing proportions at later timepoints. This should not come as a surprise considering that arthroscopic partial meniscectomy (APM) has no proven efficacy as shown by numerous high quality RCTs which have included even sham-surgery […]

Global volume of knee arthroscopy surgeries

This blog post is an update to my earlier Twitter thread in which I presented trends of knee arthroscopy procedures in different countries. Full thread about arthroscopic partial meniscectomy (APM) can be found here. Finally, how has the orthopaedic community responded to this bulk of evidence? Not as would be expected. Further studies are urgently […]

Population health and orthopaedic surgeries

Both knee arthroscopy for partial meniscectomy and shoulder arthroscopy for acromioplasty were very common procedures few years back in orthopaedic surgery. During the first two decades of this millennium extensive amount of research has been published showing that the effect of these procedures to treat knee and shoulder pain and function is quite weak. Despite […]

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