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Degenerative Meniscus Lesions: An Expert Consensus Statement Using the Modified Delphi Technique.

Erik Hohmann1, Richard Angelo2, Robert Arciero3

  • 1Department of Orthopaedic Surgery and Sportsmedicine, Valiant Clinic/Houston Methodist, Dubai, United Arab Emirates.

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
|January 6, 2020
PubMed
Summary
This summary is machine-generated.

Degenerative meniscus tears are a normal part of aging. Initial treatment should be conservative, with surgery outcomes varying based on factors like osteoarthritis and patient age.

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Geriatric Medicine

Background:

  • Degenerative meniscus tears are common, particularly in older adults.
  • Understanding optimal treatment strategies is crucial for managing patient outcomes.

Purpose of the Study:

  • To develop evidence-based recommendations for treating degenerative meniscus tears.
  • To establish expert consensus on the management of these tears using the Delphi methodology.

Main Methods:

  • A Delphi panel of 20 experts utilized a multi-round survey process.
  • Rounds included open-ended questions, Likert-style questionnaires, and consensus-building discussions.

Main Results:

  • 100% agreement that tears are a physiological part of aging and not all tears are symptomatic.
  • High agreement that initial treatment should be conservative, and repairable tears should be repaired.
  • Outcomes are influenced by osteoarthritis severity, obesity, malalignment, and patient age.

Conclusions:

  • Degenerative meniscus tears are a normal aging process.
  • Nonoperative management is recommended for symptomatic tears initially.
  • Surgical outcomes are variable and depend on multiple patient and tear-specific factors.