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International Knee Documentation Committee and visual analog scale pain scores at 1\u2010year minimum follow\u2010up, costs, cost\u2010effectiveness (cost\/quality\u2010adjusted life years [QALYs]), and incremental cost\u2010effectiveness ratio (cost of 1 additional year of life in perfect health) were collected. Sensitivity analyses were assessed for potential variations in cost or effectiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010four patients are included in each group; mean follow\u2010up is 26\u2009months (range 12\u201036). Comparing needle versus standard, mean age (years) is 50 versus 46.5 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.19); percent male sex is 71 versus 46 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.14); improvement in International Knee Documentation Committee is 58.7 versus 48.7 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.24); improvement in visual analog scale is 5.4 versus 4.5 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.55). Mean cost per case is $17,236.69 versus $16,994.00 (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u2009.26). Cost\u2010effectiveness is $1177.32\/QALY versus $1215.59\/QALY. The incremental cost\u2010effectiveness ratio is $367.71. Sensitivity analysis shows that if the costs of needle decreased to equal the costs of standard, needle becomes cost\u2010neutral while providing superior outcomes (dominant), and if the effectiveness of standard arthroscopy increased to equal needle, needle becomes dominated (more expensive, effectiveness neutral).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Arthroscopic partial meniscectomy comparing 1.9\u2009mm distal chip\u2010on\u2010tip needlescope versus 4\u2009mm glass rod lens arthroscope results in no significant differences in cost or outcomes at 1\u2010year minimum follow\u2010up. Both treatments are highly cost\u2010effective. Incremental cost\u2010effectiveness ratio for needlescope compared with arthroscope, $367.71, is more than 2 orders of magnitude lower than the willingness\u2010to\u2010pay threshold of $50,000\/QALY.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, economic: input data from Level III study and uncertainty as examined by univariate sensitivity analysis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ars2.70112","type":"journal-article","created":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T13:47:03Z","timestamp":1790862423000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["No Significant Difference in Cost or Outcomes at 1\u2010Year Minimum Follow\u2010Up After Arthroscopic Partial Meniscectomy Comparing 1.9 mm Distal Chip\u2010on\u2010Tip Needlescope Versus 4 mm Glass Rod Lens Arthroscope: Both Treatments Are Highly Cost\u2010Effective"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0959-4645","authenticated-orcid":false,"given":"James H.","family":"Lubowitz","sequence":"first","affiliation":[{"name":"New Mexico Knee Surgery  Santa Fe New Mexico U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6057-9638","authenticated-orcid":false,"given":"Chad","family":"Lavender","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery Marshall University  Huntington West Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,1]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2009.10.005"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-8063(86)80073-1"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eats.2017.03.031"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-1036-6186"},{"key":"e_1_2_9_6_1","unstructured":"Understanding CMOS image sensors: key features and advantages.https:\/\/reolink.com\/blog\/cmos\u2010image\u2010sensors\/#:~:text=CMOS%20stands%20for%20Complementary%20Metal modern%20digital%20cameras%20and%20devices. 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