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Updated: Nov 12, 2025

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No decrease in incidence of arthroscopic meniscectomy in a Canadian province.

Emily W Chan1,2, Richard C Chaulk3, Yanzhao Cheng3

  • 1Department of Surgery, University of Saskatchewan College of Medicine, 107 Wiggins Road, Saskatoon, SK, S7N 5E5, Canada. ewc460@mail.usask.ca.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
|March 21, 2021
PubMed
Summary

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Arthroscopic meniscectomy (APM) rates in Saskatchewan remained stable over 20 years, with a notable increase in older patients (≥50 years). This highlights a need for better evidence dissemination and individualized treatment plans for degenerative meniscal tears.

Area of Science:

  • Orthopedic Surgery
  • Epidemiology
  • Public Health

Background:

  • Arthroscopic meniscectomy (APM) is a common orthopedic procedure for degenerative meniscal tears.
  • Evidence increasingly questions APM's benefit over conservative management.
  • Understanding APM trends is crucial for optimizing patient care.

Purpose of the Study:

  • To determine the epidemiology and trends of APM in Saskatchewan over a 20-year period.
  • To analyze incidence and age-specific trends of APM.

Main Methods:

  • Utilized physician billing codes to identify APM procedures in Saskatchewan (1998-2017).
  • Obtained data from eHealth Saskatchewan provincial health database.
  • Analyzed overall incidence and age-specific trends of APM.
Keywords:
ArthroscopyKneeMeniscectomy

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Main Results:

  • A total of 35,099 APMs were performed.
  • Overall APM incidence rate did not significantly change over time.
  • APM frequency increased in patients aged ≥50 years during the second decade (OR 1.48, p<0.01).

Conclusions:

  • APM incidence in Saskatchewan has not decreased over the past 20 years.
  • APM frequency increased for individuals aged ≥50 years.
  • Regional factors and barriers to physiotherapy may influence these trends, necessitating improved evidence dissemination and individualized treatment.