AI Article Synopsis
- - A meta-analysis was conducted to evaluate the outcomes of surgical intervention for medial knee plica, with a focus on patient-reported satisfaction scores like "good" and "excellent".
- - Out of 731 articles reviewed, 12 met the inclusion criteria, leading to a total analysis of 643 knees, and 7 articles were used for a more detailed meta-analysis.
- - The overall success rate for favorable outcomes post-surgery was 84.2%, suggesting that arthroscopic surgical excision is a valid option for treating symptomatic medial knee plica, especially if non-surgical treatments have failed.
Article Abstract
Purpose: A meta-analysis was performed to assess the outcomes following surgical intervention for medial knee plica.
Materials And Methods: A literature search of Medline, EMBASE, CINAHL and Cochrane CENTRAL was performed using relevant key words. The primary outcome was patient-reported postoperative scores of "good" and "excellent". Meta-analyses were performed using a random effects model.
Results: The literature search identified 731 articles. After removing duplicates and those not meeting the inclusion criteria, 12 articles reporting on a total of 643 knees were included for analysis, and of these, 7 articles including 235 knees were used for meta-analysis. The overall rate of good and excellent outcomes following surgery was estimated at 84.2% (95% confidence interval [CI], 72.8-91.4). In those cases that had non-surgical therapy prior to surgery, the rate of good and excellent outcomes of surgery was estimated at 76.1% (95% CI, 60.1-87).
Conclusions: Arthroscopic surgical management of symptomatic medial knee plica results in favourable outcomes. Our results suggest that arthroscopic surgical excision should be considered as a treatment modality in patients with pathological medial plica disease of the knee either as a first-line treatment or when symptoms have not responded to non-surgical interventions.
Level Of Evidence: IV.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6254872 | PMC |
| http://dx.doi.org/10.5792/ksrr.18.017 | DOI Listing |
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