{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:27:31Z","timestamp":1777879651065,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Journal of Sports Medicine"],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>It is unknown whether the treatment effects of partial meniscectomy and physical therapy differ when focusing on activities most valued by patients with degenerative meniscal tears.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To compare partial meniscectomy with physical therapy in patients with a degenerative meniscal tear, focusing on patients\u2019 most important functional limitations as the outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design:<\/jats:title>\n                    <jats:p>Randomized controlled trial; Level of evidence, 1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This study is part of the Cost-effectiveness of Early Surgery versus Conservative Treatment with Optional Delayed Meniscectomy for Patients over 45 years with non-obstructive meniscal tears (ESCAPE) trial, a multicenter noninferiority randomized controlled trial conducted in 9 orthopaedic hospital departments in the Netherlands. The ESCAPE trial included 321 patients aged between 45 and 70 years with a symptomatic, magnetic resonance imaging\u2013confirmed meniscal tear. Exclusion criteria were severe osteoarthritis, body mass index &gt;35 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , locking of the knee, and prior knee surgery or knee instability due to an anterior or posterior cruciate ligament rupture. This study compared partial meniscectomy with physical therapy consisting of a supervised incremental exercise protocol of 16 sessions over 8 weeks. The main outcome measure was the Dutch-language equivalent of the Patient-Specific Functional Scale (PSFS), a secondary outcome measure of the ESCAPE trial. We used crude and adjusted linear mixed-model analyses to reveal the between-group differences over 24 months. We calculated the minimal important change for the PSFS using an anchor-based method.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>After 24 months, 286 patients completed the follow-up. The partial meniscectomy group (n = 139) improved on the PSFS by a mean of 4.8 \u00b1 2.6 points (from 6.8 \u00b1 1.9 to 2.0 \u00b1 2.2), and the physical therapy group (n = 147) improved by a mean of 4.0 \u00b1 3.1 points (from 6.7 \u00b1 2.0 to 2.7 \u00b1 2.5). The crude overall between-group difference showed a \u20130.6-point difference (95% CI, \u20131.0 to \u20130.2; P = .004) in favor of the partial meniscectomy group. This improvement was statistically significant but not clinically meaningful, as the calculated minimal important change was 2.5 points on an 11-point scale.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Both interventions were associated with a clinically meaningful improvement regarding patients\u2019 most important functional limitations. Although partial meniscectomy was associated with a statistically larger improvement at some follow-up time points, the difference compared with\u00a0physical therapy was small and clinically not meaningful at any follow-up time point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration:<\/jats:title>\n                    <jats:p>NCT01850719 ( ClinicalTrials.gov identifier) and NTR3908 (the Netherlands Trial Register).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2325967120954392","type":"journal-article","created":{"date-parts":[[2020,10,29]],"date-time":"2020-10-29T15:35:14Z","timestamp":1603985714000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Functional Outcomes of Arthroscopic Partial Meniscectomy Versus Physical Therapy for Degenerative Meniscal Tears Using a Patient-Specific Score: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"8","author":[{"given":"Julia C.A.","family":"Noorduyn","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tess","family":"Glastra van Loon","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor A.","family":"van de Graaf","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nienke W.","family":"Willigenburg","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ise K.","family":"Butter","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwendolyne G.M.","family":"Scholten-Peeters","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michel W.","family":"Coppieters","sequence":"additional","affiliation":[{"name":"Amsterdam Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands."},{"name":"Menzies Health Institute Queensland, Griffith University, Gold Coast, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudolf W.","family":"Poolman","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, OLVG, Amsterdam, the 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