Knee Meniscus Tear – Surgical vs Conservative Treatment : A Systematised Literature Review
Freyne, Senan (2022)
2022
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2022112323708
https://urn.fi/URN:NBN:fi:amk-2022112323708
Tiivistelmä
The aim of this thesis was to increase the evidence-based knowledge concerning the topic of the differences in effectiveness in both conservative and surgical treatments of meniscal tears in the knee joint. The objective was to investigate and compare the results of these two different approaches by means of a systematised literature review.
A systematised literature review was undertaken to gather evidence on the topic. This type of review loosely followed the strict guidelines of a systematic literature review but only had one author and used one database as its research source. Research which passed through the eligibility criteria from the database PubMed was included. They were then assessed on the PEDro scale and those approved were used in the thesis.
The results showed encouraging evidence that conservative treatment may be considered a viable alternative to surgical treatment in the case of degenerative and non-obstructive meniscal tears. Positive findings among various outcome measures deduce that conservative treatment cannot be seen as inferior to surgical in the long-term. In some factors such as cost effectiveness and thigh muscle strength in the long-term results, conservative treatment is proven to be superior to surgical.
Historically, meniscal surgery has been seen as the main form of treatment for meniscal pathologies, while the surgery has advanced to arthroscopic level there is progressive research showing conservative therapy can play a role in the treatment of meniscal tears. Further research is imperative; however, it can be seen in this thesis, the effectiveness of conservative treatment with certain types of meniscus tear.
A systematised literature review was undertaken to gather evidence on the topic. This type of review loosely followed the strict guidelines of a systematic literature review but only had one author and used one database as its research source. Research which passed through the eligibility criteria from the database PubMed was included. They were then assessed on the PEDro scale and those approved were used in the thesis.
The results showed encouraging evidence that conservative treatment may be considered a viable alternative to surgical treatment in the case of degenerative and non-obstructive meniscal tears. Positive findings among various outcome measures deduce that conservative treatment cannot be seen as inferior to surgical in the long-term. In some factors such as cost effectiveness and thigh muscle strength in the long-term results, conservative treatment is proven to be superior to surgical.
Historically, meniscal surgery has been seen as the main form of treatment for meniscal pathologies, while the surgery has advanced to arthroscopic level there is progressive research showing conservative therapy can play a role in the treatment of meniscal tears. Further research is imperative; however, it can be seen in this thesis, the effectiveness of conservative treatment with certain types of meniscus tear.