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OARSI – Recommendation XXI: Joint Replacement Surgery Should Be Considered

August 2, 2010

This is a continuation of our series on the Osteoarthritis Research Society International (OARSI) recommendations for the management of hip and knee osteoarthritis published in the Journal of Osteoarthritis and Cartilage.

Knee Replacement Surgery

Knee Replacement Surgery

Recommendation XXI

Patients with hip and knee osteoarthritis who are not experiencing an imporvement in function and pain relief from a combination of pharmacological and non-phamracological treatment should consider joint replacement surgery.

Total knee replacement surgery is recommended in14 out of 14 existing guidelines for the treatment of osteoarthritis.  Replacement surgeries are effective and cost-effective treatments for patients with significant symptoms.  All studies reported improvements in pain and physical function.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 96%.

W. Zhang Ph.D., Moskowitz M.D., et al. OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines. Osteoarthritis and Cartilage. (2008) 16, 137-162


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