Arthroscopic partial meniscectomy | 95% CI | Skin incisions only | 95% CI | Comparison | 95% CI | P value | |
Mean change | Mean change | Mean diff | |||||
Primary endpoint | |||||||
KOOS5 | 21.8 | 11.2 to 32.4 | 13.6 | 3.0 to 24.2 | 8.2 | −3.4 to 19.8 | 0.161 |
KOOS5 response (ie, at least 30% increase)*, n (%) | 11 of 22 (50) | 7 of 20 (35) | 0.15† | −0.15 to 0.45 | 0.327‡ | ||
KOOS subscales | |||||||
Pain | 23.9 | 12.9 to 34.9 | 14.0 | 2.7 to 25.2 | 9.9 | −2.1 to 21.9 | 0.110 |
Symptoms | 16.8 | 6.6 to 27.0 | 10.2 | −0.0 to 20.5 | 6.6 | −4.3 to 17.4 | 0.240 |
Function in daily living | 20.0 | 10.4 to 29.6 | 11.0 | 1.3 to 20.7 | 9.0 | −1.4 to 19.4 | 0.095 |
Function in sport and recreation | 18.5 | 2.5 to 34.5 | 12.9 | −3.9 to 29.7 | 5.6 | −11.8 to 23.0 | 0.529 |
Knee-related quality of life | 23.1 | 12.0 to 34.1 | 11.5 | 0.3 to 22.7 | 11.5 | −0.4 to 23.4 | 0.062 |
EQ-5D | |||||||
VAS score | 5.8 | −2.6 to 14.2 | 12.4 | 3.8 to 21.0 | −6.6 | −15.7 to 2.6 | 0.164 |
EQ-5D-3L index value | 0.16 | 0.08 to 0.23 | 0.11 | 0.03 to 0.19 | 0.05 | −0.04 to 0.13 | 0.301 |
SF-36 (acute version) | |||||||
Physical component summary | 7.9 | 2.8 to 12.9 | 5.8 | 0.7 to 10.9 | 2.1 | −3.3 to 7.5 | 0.452 |
Mental component summary | −1.2 | −5.3 to 2.9 | 1.3 | −2.9 to 5.5 | −2.5 | −6.8 to 1.8 | 0.256 |
GPE | |||||||
Score, median (IQR) | 6 | 5–6 | 5 | 4–6 | 1 | 0 to 2 | 0.122§ |
Response (ie, 6 or 7)¶, n (%) | 14 of 21 (67) | 7 of 19 (37) | 0.30† | 0.00 to 0.59 | 0.059‡ | ||
Physical performance measures | |||||||
One-leg hop test (affected knee), cm** | 8.7 | −2.0 to 19.4 | −0.2 | −11.1 to 10.7 | 8.9 | −3.2 to 21.0 | 0.155 |
One-leg hop test (non-affected knee), cm** | 0.7 | −9.7 to 11.1 | −5.2 | −15.7 to 5.4 | 5.9 | −5.4 to 17.3 | 0.312 |
Knee bending test, max number of knee bends (affected knee), n** | 2.1 | −2.4 to 6.5 | 1.2 | −3.3 to 5.8 | 0.9 | −4.2 to 5.9 | 0.740 |
Knee bending test, max number of knee bends (non-affected knee), n** | −0.1 | −4.3 to 4.2 | 2.1 | −2.3 to 6.5 | −2.2 | −7.1 to 2.8 | 0.392 |
Isometric knee extensor strength (affected knee), Nm/kg** | 0.98 | 0.70 to 1.27 | 0.81 | 0.53 to 1.09 | 0.17 | −0.08 to 0.42 | 0.191 |
Isometric knee extensor strength (non-affected knee), Nm/kg** | 0.94 | 0.61 to 1.27 | 0.72 | 0.40 to 1.04 | 0.23 | −0.05 to 0.50 | 0.117 |
Data were analysed using repeated measures mixed linear models; no imputations for missing data at 3-month and 24-month follow-ups. Imputation of missing values at baseline was done for all variables by imputing the mean of the follow-up values. However, if one or both of the follow-up values were missing, no imputation of values at baseline was done.
*Two patients with missing data in the skin-incisions-only group were not included.
†Risk difference.
‡The P value for the risk ratio is obtained from a χ2 test.
§The P value for the difference in medians is obtained from a Mann-Whitney U test.
¶One and three patients with missing data at follow-up in surgery and skin-incisions-only groups, respectively, were not included.
**One patient in the arthroscopic partial meniscectomy group and two patients in the placebo group had no baseline value, and it was not possible to impute a follow-up value since one or both of the follow-up values were missing as well, hence these patients could not be included in the analyses.
GPE, Global Perceived Effect; KOOS5, Knee injury and Osteoarthritis Outcome Score subscale 5; SF-36, Short-Form 36 items; VAS, Visual Analogue Scale.