Effect of early surgery vs physical therapy on knee function among patients with nonobstructive meniscal tears: the ESCAPE randomized clinical trial

VA Van De Graaf, JCA Noorduyn, NW Willigenburg… - Jama, 2018 - jamanetwork.com
Importance Despite recent studies suggesting arthroscopic partial meniscectomy (APM) is
not more effective than physical therapy (PT), the procedure is still frequently performed in
patients with meniscal tears. Objective To assess whether PT is noninferior to APM for
improving patient-reported knee function in patients with meniscal tears. Design, Setting,
and Participants Noninferiority, multicenter, randomized clinical trial conducted in 9 hospitals
in the Netherlands. Participants were aged 45 to 70 years with nonobstructive meniscal …
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