Does Knee Meniscus Surgery Cause More Arthritis? - Regenexx®

Does Knee Meniscus Surgery Cause More Arthritis?

knee-meniscus-surgeryKnee meniscus surgery is a bizarre topic for many orthopedic surgeons, sort of like a sacred cow crossing the road in India. While the high-level research continues to show that cutting out pieces of the knee meniscus doesn’t help patients, these surgeries are still common, and many surgeons will defend their use. However, when does the research become so overwhelming that all orthopedic surgeons have to give up routine meniscus surgery? Are we there yet? Another study was just published that again shows that the procedures can cause more harm than good.

The Meniscus Research So Far

The most common elective orthopedic surgery worldwide has had a rough run this past 15 years. It all began with the basic concept of a dirty room. When you place an arthroscopy scope in a knee with damage and arthritis, the “room” looks to be a mess. We all hate a messy room, so the first orthopedic surgeons to do this in the 1970s figured that “cleaning up” the mess would help. This procedure is called “debridement” or “cleaning up” the knee. There is just one little problem: in 2002, research was published comparing this surgery to a fake procedure. In the end, the operation couldn’t beat the results of a sham surgery. So “cleaning up the room” didn’t help.

This problem study was the first self-inflicted blow for the modern orthopedic surgery that demonstrated its inherent weakness: the research supporting that all of these invasive surgeries helped patients was the poorest of any medical specialty. In fact, the British Medical Journal classified it as “scandalously poor.” However, the 2002 study was just the beginning of a much bigger problem. The most common orthopedic surgery in the world, meniscus surgery, was about to have real issues.

Many patients believe that when they get meniscus surgery, the surgeon is repairing the structure. However, this only happens 4% of the time; the other 96% of the time, the torn piece is removed. So how well does this work? So far we have high-level research that shows that surgery for meniscus tears with or without arthritis doesn’t work. We also have studies that show that when there’s locking of the knee due to a meniscus tear, the surgery also fails to work. So much for meniscus surgery.

While overwhelming research has shown that meniscus surgery is a bust, many orthopedic surgeons refuse to yield on the topic. While the surgery may still be helpful for select patients, given our knowledge of how poorly it works, when will most meniscus surgeries be relegated to the dustbin of medical history?

Meniscus Surgery Not Only Doesn’t Work but Could Be Harming Knees

A few years back, a study was presented at a national radiology meeting that showed that almost all patients who got meniscus surgery quickly ended up with arthritis. However, this study got little play. Now, new research using the data from a government-funded arthritis study shows more unpleasant meniscus surgery effects.

The new study looked at almost 5,000 patients who were middle aged to elderly and who were being tracked because they had arthritis. Just over 300 of these patients underwent meniscus surgery. It then matched those surgical patients to others who were similar, but who didn’t have surgery. The findings? The patients who had a meniscus procedure were three times as likely to need and get a knee replacement as those who did not!

The upshot? When will routine meniscus surgery become a thing of the past? Likely when insurance companies begin to deny coverage, which given the research, won’t be too far off.




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Read 5 Comments
  1. It would be interesting to know how many of patients with meniscal surgery were also told that the would need a knee replacement in the future

  2. After a few months of pills and steroid shot finally did MRI . Was told need scope maybe KR . Started doing research on SC. Decided to have a SC shot .
    Shot was given in knee ,unlike your Video , which was painful for that 30 seconds. Had very little improvement so was told just need to repair meniscus. Had the surgery done in August and after 6 weeks back to normal. Was told the Stem Cell would not repair tears but still no harm Having had the SC shot .Now other knee is starting to hurt due to pressure for months on damage knee . So back to square one . Do I try your way or the same as last time ?

    1. David,
      Hope your operated knee continues to do well! Unfortunately though, the longterm results of Meniscus surgery are pretty clear in study after study, so much so that some European countries are considering denying coverage. To complicate things the problem in the stem cell field at the moment is that stem cell “shots” can have limited effectiveness as well because there are few ways for the medical consumer to know what they’re getting. While no medical procedures work all the time, there are things to look for in a Stem Cell Clinic that will improve your chances of successful treatment. Please see: So generally speaking, we don’t recommend Meniscus surgery. To have us weigh in on your case in particular, please submit the Candidate form.

    2. I had menial and lateral tears of my meniscus trimmed and the arthritis “cleaned up.” That was a year and 1/2 ago. I’m almost 60 with knee arthritis. Now my knee pain is multiplied. I can’t do anything I used to do. I can’t even walk for two blocks and even have pain at rest now. Now I need a knee replacement. Don’t do it!

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