Arthroscopic Meniscectomy for the Degenerative Meniscus with Mild to Moderate Osteoarthritis: A Contemporary Analysis.

JBJS Rev · Mar 01 2026 · Review

Kaadan A, Pietro J, Aaron RK

Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island

Sports Medicine

SUMMARY — THE REDUCTIONThis review concludes that structured exercise remains a reasonable first-line treatment for degenerative meniscal tears, with arthroscopic partial meniscectomy reserved for patients failing nonoperative therapy.
Abstract, as published

» Arthroscopic partial meniscectomy (APM) for the treatment of degenerative meniscal tears has been controversial, and quantification of its benefits has been limited by methodological problems and varying clinical definitions.» Among the problems with APM are patients crossing over from the treatment arm to which they have been randomized to another treatment and analyzed by the randomized treatment, whether they received that treatment or not.» Aggregated information suggests that a program of structured exercise is a reasonable initial treatment for degenerative meniscal tears with APM reserved for patients who fail nonsurgical therapy.

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