Partial meniscectomy is associated with increased risk of incident radiographic osteoarthritis and worsening cartilage damage in the following year

Roemer F, Kwoh CK, Hannon MJ, Hunter DJ, Eckstein F, Grago J, Boudreau RM, Englund M, Guermazi A (2017)

Publication Type: Journal article

Publication year: 2017

Journal

European Radiology Springer Verlag (Germany)

Book Volume: 27

Pages Range: 404-413

Journal Issue: 1

DOI: 10.1007/s00330-016-4361-z

Abstract

To assess whether partial meniscectomy is associated with increased risk of radiographic osteoarthritis (ROA) and worsening cartilage damage in the following year.We studied 355 knees from the Osteoarthritis Initiative that developed ROA (Kellgren-Lawrence grade >= 2), which were matched with control knees. The MR images were assessed using the semi-quantitative MOAKS system. Conditional logistic regression was applied to estimate risk of incident ROA. Logistic regression was used to assess the risk of worsening cartilage damage in knees with partial meniscectomy that developed ROA.In the group with incident ROA, 4.4 % underwent partial meniscectomy during the year prior to the case-defining visit, compared with none of the knees that did not develop ROA. All (n = 31) knees that had partial meniscectomy and 58.9 % (n = 165) of the knees with prevalent meniscal damage developed ROA (OR = 2.51, 95 % CI [1.73, 3.64]). In knees that developed ROA, partial meniscectomy was associated with an increased risk of worsening cartilage damage (OR = 4.51, 95 % CI [1.53, 13.33]).The probability of having had partial meniscectomy was higher in knees that developed ROA. When looking only at knees that developed ROA, partial meniscectomy was associated with greater risk of worsening cartilage damage.o Partial meniscectomy is a controversial treatment option for degenerative meniscal tears. o Partial meniscectomy is strongly associated with incident osteoarthritis within 1 year. o Partial meniscectomy is associated with increased risk of worsening cartilage damage.

Authors with CRIS profile

Frank Roemer Institute of Radiology

Involved external institutions

Boston University US United States (USA) (US) Lund University / Lunds universitet SE Sweden (SE) University of Pittsburgh US United States (USA) (US) Paracelsus Medizinische Privatuniversität AT Austria (AT) University of Sydney (USYD) AU Australia (AU) University of Arizona US United States (USA) (US)

How to cite

APA:

Roemer, F., Kwoh, C.K., Hannon, M.J., Hunter, D.J., Eckstein, F., Grago, J.,... Guermazi, A. (2017). Partial meniscectomy is associated with increased risk of incident radiographic osteoarthritis and worsening cartilage damage in the following year. European Radiology, 27(1), 404-413. https://dx.doi.org/10.1007/s00330-016-4361-z

MLA:

Roemer, Frank, et al. "Partial meniscectomy is associated with increased risk of incident radiographic osteoarthritis and worsening cartilage damage in the following year." European Radiology 27.1 (2017): 404-413.

BibTeX: Download