Osteoarthritis, the hazard of living longer: arthroscopy vs. conservative treatment

The lengthening of the average life span has led to an increase in degenerative diseases, among them osteoarthritis. Arthroscopy, which has been used extensively to decrease pain and inflammation and increase the range of motion, has recently been challenged as the treatment of choice. Several studies have found that joint lavage, which is a less costly procedure, provides better solutions to joint disorders. In Israel, where resources for health care are limited, physicians must also be guided by cost-benefit and cost-effectiveness. Since there is limited benefit to be gained from arthroscopy in cases where there is no mechanical damage to the knee, we suggest that nonsurgical, conservative methods be employed in treating the majority of cases of osteoarthritis.