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Therapeutic arthroscopy for knee osteoarthritis: time to reconsider?

Adam B Chapman and Julian A Feller
Med J Aust 2003; 179 (4): . || doi: 10.5694/j.1326-5377.2003.tb05492.x
Published online: 18 August 2003

Two recent RCTs have clarified the benefits


  • 1 Public Health Branch, Department of Human Services, Melbourne, VIC.
  • 2 School of Health Sciences, La Trobe University, Melbourne, VIC.


Correspondence: 

  • 1. Australia Bureau of Statistics. National Health Survey, 1995. Canberra: ABS, 1995.
  • 2. Segal L, Day S, Chapman A, et al. Priority setting in osteoarthritis — report to the Population Health Division, Department of Health and Ageing. Melbourne: Monash University Health Economics Unit, 2002.
  • 3. Edelson R, Burks RT, Bloebaum RD. Short-term effects of knee washout for osteoarthritis. Am J Sports Med 1995; 23: 345-349.
  • 4. Baumgaertner MR, Cannon WD Jr, Vittori JM, et al. Arthroscopic debridement of the arthritic knee. Clin Orthop 1990; (253): 197-202.
  • 5. Moseley JB, O'Malley K, Petersen NJ, et al. A controlled trial of arthroscopic surgery for osteoarthritis of the knee. N Engl J Med 2002; 347: 81-88.
  • 6. Harwin SF. Arthroscopic debridement for osteoarthritis of the knee: predictors of patient satisfaction. Arthroscopy 1999; 15: 142-146.
  • 7. Hunt S, Jazrawi L, Sherman O. Arthroscopic management of osteoarthritis of the knee. J Am Acad Orthop Surg 2002; 10: 356-363.
  • 8. Chang RW, Falconer J, Stulberg SD, et al. A randomized, controlled trial of arthroscopic surgery versus closed-needle joint lavage for patients with osteoarthritis of the knee. Arthritis Rheum 1993; 36: 289-296.
  • 9. Yang SS, Nisonson B. Arthroscopic surgery of the knee in the geriatric patient. Clin Orthop 1995; (316): 50-58.
  • 10. Fond J, Rodin D, Ahmad S, Nirschl RP. Arthroscopic debridement for the treatment of osteoarthritis of the knee: 2- and 5-year results. Arthroscopy 2002; 18: 829-834.
  • 11. McLaren AC, Blokker CP, Fowler PJ, et al. Arthroscopic debridement of the knee for osteoarthrosis. Can J Surg 1991; 34: 595-598.
  • 12. Bradley JD, Heilman DK, Katz BP, et al. Tidal irrigation as treatment for knee osteoarthritis: a sham-controlled, randomized, double-blinded evaluation. Arthritis Rheum 2002; 46: 100-108.
  • 13. Dervin GF, Stiell IG, Rody K, Grabowski J. Effect of arthroscopic debridement for osteoarthritis of the knee on health-related quality of life. J Bone Joint Surg Am 2003; 85-A: 10-19.
  • 14. Bhattacharyya T, Gale D, Dewire P, et al. The clinical importance of meniscal tears demonstrated by magnetic resonance imaging in osteoarthritis of the knee. J Bone Joint Surg Am 2003; 85-A: 4-9.
  • 15. Solomon M, McLeod R. Surgery and the randomised controlled trial: past, present and future. Med J Aust 1998; 169: 380-383. <MJA full text>
  • 16. Wai EK, Kreder HJ, Williams JI. Arthroscopic debridement of the knee for osteoarthritis in patients fifty years of age or older: utilization and outcomes in the Province of Ontario. J Bone Joint Surg Am 2002; 84-A: 17-22.

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