By Rebecca Blyth A ground-breaking study in 2002 suggested that arthroscopic debridement or lavage of the knee joint was no better than placebo surgery[1], yet this is a still a surgical option today. It’s confirmed that the benefits from arthroscopic knee surgery in degenerative knee disease are absent at one to two years follow-up and […]
Tag: evidence-based practice
Make sure to be on the right side in the war on science
By John Orchard @DrJohnOrchard highlights the importance of the scientific method emphasising that it should be the rock on which all health practice is based. This blog is edited slightly from the canonical Sport Health co-publication. Sport Health is a member publication for Sports Medicine Australia (follow @SMACEO) One of my favourite sayings from my medical […]
The sexy scalpel: unnecessary shoulder surgery on the rise
By Jørgen Jevne @jevnehelse While we are supposed to be living in the era of evidence-based medicine (EBM), researchers are making us increasingly aware of the long distance between academia and daily clinical practice. This is highlighted by recent writings on low back pain [1] and knee arthroscopy [2]. Clinicians love to cling on to […]
Time to stop meniscectomies for degenerative tears: Practice must catch up with evidence
By Kay M Crossley (@KayMCrossley) , Joanne L Kemp (@JoanneLKemp), Charles Ratzlaff, and Ewa M Roos (@Ewa_Roos) In 2002, a randomised controlled trial (RCT) in the New England Journal of Medicine [1] made us all sit up and take note. The trial was remarkable because participants were randomised to arthroscopic debridement (including chondroplasty, removal of debris […]