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Posts Tagged ‘joint fusion’

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 arthrodesis

knee arthrodesis

Recommendation XXV

In patients with knee osteoarthritis joint fusion can be considered when joint replacement has failed.  This is a salvage procedure.

Joint fusion or knee arthrodesis is usually indicated when a total knee replacement becomes infected and is not reconstructable.  Outcome evidence is based primarily on uncontrolled cohort studies.  Patients can expect a stable knee, relatively pain free knee following joint fusion but will experience problems with function.

The research team gave this osteoarthritis treatment option a Strength of Recommendation score of 69%.

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