Total Joint Arthroplasty (TJA) of the Hip or Knee
Publication Date: September 24, 2023
Key Points
Key Points
- The defined population for these recommendations is patients with symptomatic and radiographic moderate to severe osteoarthritis (OA) or advanced symptomatic osteonecrosis (ON) with secondary arthritis of the hip or knee who have previously attempted and for whom nonoperative therapy is ineffective and chosen to undergo elective hip or knee arthroplasty.
- Nonoperative treatments include, but are not limited to, activity modification, analgesic medications such as nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, physical therapy, intra-articular injections, bracing, weight loss and gait aids.
- For this specific population, nonoperative treatments are not disease modifying and are intended to reduce pain and improve function. These recommendations do not apply to patients who have mild radiographic or symptomatic OA or ON or who have not previously attempted nonoperative treatment.
Treatment
Treatmen...
...able 2. Recommendatio...
...roupFor patients with radiographically moder...
...ed population, we conditionally recommend...
...population, we conditionally recommend proc...
...r defined population, we conditional...
...defined population, we conditionally recom...
...population, we conditionally recomm...
...ed population, we conditionally recommend proceed...
...ur defined population with body mas...
...ed population with BMI 40–49, we conditi...
...ed population with BMI 35–39, we conditionally...
...population with poorly controlled di...
...ur defined population with nicotine depe...
...ed population with bone loss with...
...defined population with a neuropathic joint, we...