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OARSI – Recommendation XXIV – Arthroscopic Debridement and Lavage is Controversial

August 5, 2010

This is a continuation of our series on the Osteoarthritis Research Society International (OARSI) recommendations for the management of hip and knee osteoarthritis published in the Journal of Osteoarthritis and Cartilage.

knee surgery

arthroscopic knee surgery

Recommendation XXIV

Arthroscopic debridement and lavage for knee osteoarthritis is controversial.

3 out of 3 treatment guidelines recommend arthroscopic debridement and lavage as a treatment option for knee OA but some studies have demonstrated symptomatic pain relief can be attributed to a placebo effect.  Controversy regarding the efficacy and indications for this treatment option continues.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 60%.

W. Zhang Ph.D., Moskowitz M.D., et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage. (2008) 16, 137-162


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