Description
This transcription captures a detailed discussion on meniscal lesions and the evolving practices surrounding their treatment. Presented primarily by Imran Ahmed and Andy Metcalfe, the talk explores the historical context and recent findings regarding meniscal tears, especially in the context of osteoarthritis. Metcalfe opens with thanks and introduces Ahmed, who has researched meniscal lesions extensively during his PhD. They delve into the past practices of arthroscopy and meniscectomy, highlighting a shift towards more conservative management and evidence-based guidelines. Critical statistical data is shared, revealing that many patients with meniscal tears do not require surgical intervention, and a personalized knee improvement program has demonstrated effectiveness in reducing unnecessary arthroscopies. Ahmed elaborates on the nuances of treatment paths for different demographics and emphasizes the importance of understanding the patient's experience and expectations regarding surgery. The overarching conclusion recommends non-operative treatment for younger patients with mild symptoms and advocates for individualized care while considering surgical options when necessary.
DOI: 10.1302/3114-240698