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Letters Evidence base for orthopaedics and sports medicine

Authors’ reply to Chitnavis

BMJ 2015; 350 doi: (Published 28 January 2015) Cite this as: BMJ 2015;350:h431
  1. L Stefan Lohmander, professor1,
  2. Ewa M Roos, professor2
  1. 1Orthopaedics, Department of Clinical Sciences, Lund University, 22185 Lund, Sweden
  2. 2Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
  1. stefan.lohmander{at}

We thank Chitnavis for his response and wish to correct some misconceptions about published results.1 2

At least nine published randomised controlled trials have compared the benefit of arthroscopic meniscal surgery with non-surgical management or sham surgery. The most recent systematic review and meta-analysis concludes “there is no benefit to arthroscopic meniscal debridement for degenerative meniscal tears in comparison with nonoperative or sham treatments …

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