Arthroscopic surgery for degenerative knee arthritis and meniscal tears: a clinical practice guideline

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“…The most endorsed recommendation regarding arthroscopy osteoarthritis of the knee and/or degenerate meniscal tear is consistent with the recently launched Australian Clinical Care Standards for Osteoarthritis of the Knee, 40 as well as a new clinical practice guideline published in the BMJ. 41 While we also include similar recommendations regarding ANA, ENA, dsDNA testing and frequency of BMD monitoring to some other countries, other recommendations were not transferrable to the Australian context. For example items, such as testing for Lyme disease and prescribing biologic agents prior to methotrexate were not deemed applicable to Australia due to differences in disease prevalence and mandated Medicare restrictions.…”

Bout of the corner men and not the boxers? Contextual effects flex their muscles

“…Further, most recently, after an extensive meta-analysis, the BMJ has also released its clinical guidelines firmly recommending against APM in this patient category 10. Thus, there is currently a strong movement for non-surgical management of the painful knee — this is typically through a supervised or non-supervised exercise intervention.…”

Medical Overtreatment: Friend or Foe?

“…The scientific literature has an important debate on the utility of influenza vaccination in the elderly. Arthroscopic surgery for knee pain in the elderly [27], surgery for degenerative “lumbar spinal stenosis” [28], and even reflexively admitting the elderly to intensive care units [29] call for consultations.…”