A Decade Later, Knee Arthroscopy Finds No Benefit for Degenerative Meniscal Tears
Ten-year follow-up of the FIDELITY randomized trial shows arthroscopic partial meniscectomy offers no functional or pain benefit versus sham for degenerative meniscal tears and may accelerate osteoarthritis progression; more patients in the surgical group required knee replacement or high tibial osteotomy. The findings, aligning with prior 1- and 5-year data, argue against using APM in this patient population except in specific acute or mechanical cases.