AAOS Clinical Practice Guideline Summary: Management of Osteoarthritis of the Knee (Nonarthroplasty), Third Edition

Brophy, R. & Fillingham, Y., Journal of the American Academy of Orthopaedic Surgeons

The purpose of this clinical practice guideline was to evaluate current best evidence associated with the treatment of knee osteoarthritis (KOA) in adults ages 17 years and older. The scope of this guideline include nonpharmacologic and pharmacologic interventions for symptomatic KOA, as well as surgical procedures less invasive than knee arthroplasty. This guideline contains 29 recommendations to assist all qualified and appropriately trained healthcare professionals involved in the nonarthroplasty management of KOA and provide information for patients. Discussions of how each recommendation was developed and the complete evidence report are contained in the full guideline at http://www.aaos.org/oak3cpg. Readers are urged to consult the full guideline for the comprehensive evaluation of the available scientific studies.

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Symptom Management

• *Do changes in outcomes following primary and revision hip replacement differ and relate to markers of socioeconomic status? A 1-year population-based cohort study
• Long-Term Yoga and Aerobic/Strength Exercise Adherence in Older Women with Knee Osteoarthritis: A Mixed Methods Approach
• Knee-extensor strength, symptoms, and need for surgery after two, four, or six exercise sessions/week using a home-based one-exercise program: A randomized dose-response trial of knee-extensor resistance exercise in patients eligible for knee replacement (the QUADX-1 trial)
• *Immediate Effects of Walking with a Knee Brace following Anterior Cruciate Ligament Reconstruction: A Biomechanical, Biochemical, and Structural Approach

Research Methods/Measures

• Can the Single Assessment Numeric Evaluation be used as a stand-alone outcome instrument in patients undergoing total shoulder arthroplasty?
• *Detection of altered pain facilitatory and inhibitory mechanisms in patients with knee osteoarthritis by using a simple bedside tool kit (QuantiPain)

Reviews, Commentaries, Statements, and Guidelines

• Arthritis and dentistry
• Utility of Gait Biofeedback Training to Improve Walking Biomechanics in Patients With Chronic Ankle Instability: A Critically Appraised Topic
• Muscle-strengthening activities to improve health outcomes: What the evidence supports
• Best Evidence Osteoarthritis Care: What Are the Recommendations and What Is Needed to Improve Practice?
• A Framework to Guide the Development of Health Care Professional Education and Training in Best Evidence Osteoarthritis Care

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