# 184 – The Meniscus: when in doubt, leave it in Page: https://stenobird.com/podcast/the-body-of-evidence-1096717/184-the-meniscus-when-in-doubt-leave-it-in Text version: https://stenobird.com/podcast/the-body-of-evidence-1096717/184-the-meniscus-when-in-doubt-leave-it-in.md Podcast: [The Body of Evidence](https://stenobird.com/podcast/the-body-of-evidence-1096717) Published: 2026-05-14T10:00:00+00:00 Episode link: http://sites.libsyn.com/213140/184-the-meniscus-when-in-doubt-leave-it-in Audio file: https://dts.podtrac.com/redirect.mp3/traffic.libsyn.com/secure/thebodyofevidence/Episode_184_Edited_With_Ad_Meniscus.mp3?dest-id=1541786 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/the-body-of-evidence-1096717/episodes/184-the-meniscus-when-in-doubt-leave-it-in Duration seconds: 2805 ## Resource Meniscectomies were once a very common surgery for knee pain. Then the data happened. Teppo Järvinen from the Finnish Centre for Evidence-Based Orthopaedics (FICEBO) joins Chris to talk about the recent 10-year data from the FIDELITY trial, showing that removing the meniscus in patients with knee pain did not improve symptoms and for a broader discussion about the role and importance of sham surgery and placebo controls in surgical research. He also shows Chris that orthopaedic surgeons are a surprisingly thoughtful and introspective group. Become a supporter of our show today either on Patreon or through PayPal! Thank you! http://www.patreon.com/thebodyofevidence/ https://www.paypal.com/donate?hosted_button_id=9QZET78JZWCZE Email us your questions at thebodyofevidence@gmail.com. Editor: Robyn Flynn Theme music: “Fall of the Ocean Queen“ by Joseph Hackl Rod of Asclepius designed by Kamil J. Przybos Chris’ book, Does Coffee Cause Cancer?: https://ecwpress.com/products/does-coffee-cause-cancer Obviously, Chris is not your doctor (probably). This podcast is not medical advice for you; it is what we call information. References: The FICEBO website: www.ficebo.com The original FIDELITY trial showing meniscectomy had no benefit: https://www.nejm.org/doi/full/10.1056/NEJMoa1305189 The recent 10-year follow-up data from FIDELITY: https://www.nejm.org/doi/full/10.1056/NEJMc2516079 The SIMPLICITY HTN-3 sham surgery trial on renal denervation: https://www.nejm.org/doi/full/10.1056/NEJMoa1402670 Max Planck’s Principle: https://en.wikipedia.org/wiki/Planck%27s_principle ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-body-of-evidence-1096717/episodes/184-the-meniscus-when-in-doubt-leave-it-in/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/the-body-of-evidence-1096717/184-the-meniscus-when-in-doubt-leave-it-in.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.