Home-Based vs Supervised Inpatient and/or Outpatient Rehabilitation Following Knee Meniscectomy

Nutarelli, Sebastiano; Delahunt, Eamonn; Cuzzolin, Marco; Delcogliano, Marco; Candrian, Christian; Filardo, Giuseppe

doi:10.1001/jamanetworkopen.2021.11582

Cited by 2 publications

(1 citation statement)

References 63 publications

(144 reference statements)

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“…When home-based exercise versus home-based exercise supplemented center-based rehabilitation, several studies ( 43 , 44 ) showed that additional center-based sessions probably showed a little increased effect. This is congruent with the findings of two reviews ( 48 , 49 ) in orthopedic rehabilitation, where they found that additional outpatient interventions were not superior to home-based rehabilitation.…”

Section: Discussionsupporting

confidence: 88%

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Zhang,

Huang,

Tian

et al. 2024

Front. Public Health

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BackgroundHome-based exercise (HBE) represents an alternative to increase the accessibility of rehabilitation programs and relieve the burden on the health care system for people with knee osteoarthritis.ObjectivesTo summarize for the first time the effectiveness of HBE as compared to center-based exercise (CBE), both with and without HBE, on patient-reported and performance-based outcomes in people with KOA.MethodsSearches were conducted on PubMed, Cochrane, Embase, Web of Science, and Scopus until March 10, 2023, without date or language restrictions. Randomized controlled trials investigating HBE versus CBE or HBE combined with CBE for people with KOA were eligible. The primary outcomes were patient-reported: pain, physical disability, and quality of life. The secondary outcomes were performance-based: walking ability, lower limb muscle strength, and balance function. Risk of bias was assessed with the Cochrane Risk of Bias tool and quality of evidence according to the GRADE.ResultsEleven trials involving 956 participants were included. There was no difference in short-term pain (SMD, 0.22 [95% CI, −0.04 to 0.47], p = 0.09; I2 = 0%), physical disability (SMD, 0.17 [95% CI, −0.19 to 0.54], p = 0.35; I2 = 0%), walking ability (SMD, −0.21 [95% CI, −0.64 to 0.22], p = 0.33; I2 = 35%) and lower limb muscle strength (SMD, −0.24 [95% CI, −0.88 to 0.41], p = 0.47; I2 = 69%) between HBE and CBE. HBE combined with CBE has better benefits compared with HBE alone in short-term pain (SMD, 0.89 [95% CI, 0.60 to 1.17], p < 0.001; I2 = 11%) and physical disability (SMD, 0.25 [95% CI, 0.00 to 0.50], p = 0.05; I2 = 0%).ConclusionBased on limited evidence, HBE is as effective as CBE on short-term pain, physical disability, walking ability, and lower limb muscle strength in people with knee osteoarthritis. Furthermore, combining HBE with CBE may enhance the overall efficacy of the intervention.Systematic review registrationPROSPERO, CRD42023416548.

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Section: Discussionsupporting

confidence: 88%

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Zhang,

Huang,

Tian

et al. 2024

Front. Public Health

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Clinical outcomes of arthroscopic partial meniscectomy at 10 years follow up - A retrospective cohort study

Joshi,

Sable,

Usman

et al. 2024

JASSM

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Objectives: In recent times, the advent of newer meniscal repair systems and studies thereof seem to have implied that meniscectomy procedures should be abandoned or used only as a last resort procedure in most patients. This study was done to report the outcomes of partial meniscectomy done in indicated patients by a skilled arthroscopic surgeon at a long-term follow-up of 10 years. The indications and the appropriate strategy for performing this procedure are also described. Materials and Methods: One hundred consecutive patients who underwent arthroscopic partial meniscectomy (APM) over one year were evaluated 10 years later for functional and clinical outcomes. Results: A retrospective case series of 100 consecutive patients was conducted to study the clinical outcome of APM after 10 years. Their mean age was 41.23 ± 7.81 years. 70% of the selected patients were male. Medial meniscus involvement was the most common (73%). At their 10-year follow-up, the majority of cases were asymptomatic (72%), with a mean international knee documentation committee score of 86.90 ± 5.51. Mean Tegner Lysholm Knee score was 90.05 ± 10.21, the Western Ontario and McMaster Universities Arthritis Index score was 8.83 ± 6.19, and the Western Ontario meniscal evaluation tool score was 85.54 ± 10.91. The subjective assessment after surgery was “excellent” in the majority of patients (48%). Conclusion: With proper patient selection and accurate decision-making, patients operated with APM for isolated meniscus tears can return to their daily routine activities and have good clinical and functional outcomes. The technique of performing arthroscopy and the skill set of the operating surgeon may perhaps also be an important criterion influencing the outcomes.

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Home-Based vs Supervised Inpatient and/or Outpatient Rehabilitation Following Knee Meniscectomy

Cited by 2 publications

References 63 publications

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Home-based vs center-based exercise on patient-reported and performance-based outcomes for knee osteoarthritis: a systematic review with meta-analysis

Clinical outcomes of arthroscopic partial meniscectomy at 10 years follow up - A retrospective cohort study

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