The American Academy of Orthopaedic Surgeons Evidence-Based Guideline on
Treatment of Osteoarthritis of the Knee, 2nd Edition
David S. Jevsevar, MD, MBA; Gregory Alexander Brown, MD, PhD; Dina L. Jones, PT, PhD; Elizabeth G. Matzkin, MD; Paul A. Manner, MD, FRCSC; Pekka Mooar, MD; John T. Schousboe, MD, PhD; Steven Stovitz, MD; James O. Sanders, MD; Kevin J. Bozic, MD, MBA; Michael J. Goldberg, MD; William Robert Martin III, MD; Deborah S. Cummins, PhD; Patrick Donnelly, MA; Anne Woznica, MLIS; Leeaht Gross, MPH

Introduction

The AAOS Evidence-Based Guideline on Treatment of Osteoarthritis of the Knee, 2nd Edition, includes only less-invasive alternatives to knee replacement. This brief summary of the AAOS Clinical Practice Guideline contains a list of the recommendations and the rating of strength based on the quality of the supporting evidence. Discussion of how each recommendation was developed and the complete evidence report are contained in the full guideline at www.aaos.org/guidelines.

Summary of Recommendations

Conservative Treatments: Recommendations 1-6

RECOMMENDATION 1

We recommend that patients with symptomatic osteoarthritis of the knee participate in self-management programs, strengthening, low-impact aerobic exercises, and neuromuscular education; and engage in physical activity consistent with national guidelines. Strength of Recommendation: Strong

RECOMMENDATION 2

We suggest weight loss for patients with symptomatic osteoarthritis of the knee and a BMI ≥25. Strength of Recommendation: Moderate

RECOMMENDATION 3A

We cannot recommend using acupuncture in patients with symptomatic osteoarthritis of …


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