Management of Osteoarthritis of the Knee by Primary Care Physicians

Abstract

Results from this study suggest that additional research is needed to determine the evaluative techniques for OA of the knee that provide the most useful information for management decisions, the management techniques that maximize patient outcomes, and the criteria that should be used to select patients who would benefit most from referral for possible total knee replacement.

Efficacy, Tolerability and Adverse Events of Single-Shot Intra-Articular Hyaluronic Acid Injection in Knee Osteoarthritis

“…This is corroborated with clinical trials comparing HA and placebo, where in pain relief was significant with HA [15]. Amelioration of pain is comparable with NSAIDS [16] and even superior to intraarticular corticosteroid [17], lasts longer but takes more time to take effect [16]. This latter finding may be especially advantageous in patients in whom typical pain killers are contraindicated or in those who have experienced either a lack of efficacy or other adverse events (patients with peptic ulcer or history of gastrointestinal bleed).…”

Survey Study of Members of the Canadian Orthopaedic Association on the Natural History and Treatment of Anterior Cruciate Ligament Injury

“…Clinical agreement thresholds ranging from 60% to 90% have been chosen in previous survey studies with no rationale 8,9 We chose a minimum 80% agreement in choice of response a priori, as ''clinical agreement'' consistent with that used in the study of the AAOS members conducted by Marx et al 1 We agreed that a higher threshold was too severe and that a lower threshold would overstate the number of issues upon which surgeons were in agreement. This threshold is, of course, arbitrary and is only used to highlight areas of consensus.…”

Influences on individuals with osteoarthritis in deciding to undergo a hip or knee joint replacement: A qualitative study

“…TJR for severe OA of the hip or knee is seen as an effective and accepted treatment [7][8][9]. Joint replacement can reduce pain from OA [10][11][12][13][14] and improve physical functional ability and quality of life [10][11][12][13]15,16].…”