Osteoarthritis, the hazard of living longer: arthroscopy vs. conservative treatment
Israeli, A.; Liebergal, M.; Friedman, J.B.; Segal, D.
Israel Journal of Medical Sciences 32(2): 121-122
1996
ISSN/ISBN: 0021-2180 PMID: 8631648 Document Number: 456712
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.