MCD, FMCP, arthroscopy

Question 1

Kahn Frontiers 2023 REVIEW

Meta analyses of success in FMCP/MCD

Evidence classification CMSG - 3 silver, 11 bronze

Answer 1

Meta analysis concludes that sx leads to high O satisfaction and subjectively improved lameness
-No controls, observer bias, placebo effect
-Denny 1980, Meyer-L 2003, Puccio 2003, Mussmann 2009, Fitz 2009, Dening 2011, Samoy 2013, Galindo 2014, Aydin 2018 -> positive effect
-Only Theyse 2000 -> found no sig results
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Meta analysis found improvement of asymmetry index with sx
-Theyse, Galindo, Barthelemy 2014
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In contrast, comparative studies sx vs med had controversial results
-Demsey, Bouck 1995, Baldus 2013

Question 2

Burton VS 2023 REVIEW
FMCP

Answer 2

6 prospective trials with gait analysis
-3 with control group (Huibregtse, Bouck, Burton) failed to demonstrate superior of sx over med

Multiple studies document progression of OA following sx but that did not mean worse fx

Question 3

Scharpf VCOT 2022

SCO and autologous conditioned plasma
Force plate analysis

Answer 3

ACP no difference on force plate

SCO did not normalise force plate

Question 4

Seidler Animals 2023

Bilateral MCD sx on more severe side
Gait patterns, LOAD

Answer 4

Sx improve gait patterns
despite worse radiographic findings