RESUMO
Total knee arthroplasty (TKA) is one of the most frequent surgical procedures in orthopaedic surgery. Until now there have not been any standardized indication criteria, which might contribute to the large geographical differences in the frequency of TKA. This guideline aims to consent minimal requirements (main criteria), additional important aspects (minor criteria), as well as relative and absolute contraindications for TKA. The following main criteria have been consented: knee pain, radiological confirmation of osteoarthritis or osteonecrosis, inadequate response to conservative treatment, adverse impact of knee disease on the patient's quality of life and the burden of suffering due to the knee disease. Relative contraindications have been consented as severe general disease with reduced life expectancy and a BMI ≥40; absolute contraindications are an active infection and if the patient is not able to undergo major surgery.
Assuntos
Artroplastia do Joelho , Osteoartrite do Joelho , Humanos , Consentimento Livre e Esclarecido , Osteoartrite do Joelho/cirurgia , Guias de Prática Clínica como Assunto , Próteses e Implantes , Qualidade de VidaAssuntos
Avaliação da Deficiência , Classificação Internacional de Funcionalidade, Incapacidade e Saúde/normas , Guias de Prática Clínica como Assunto , Reumatologia/normas , Índice de Gravidade de Doença , Espondilartrite/classificação , Espondilartrite/diagnóstico , Alemanha , Humanos , Internacionalidade , Sociedades Médicas/normasRESUMO
AIM OF STUDY: To develop recommendations for appropriate diagnostic procedures and conservative treatment of knee osteoarthritis in outpatients. MATERIAL AND METHODS: Following a consensus conference and expert reviews basic recommendations were developed. RESULTS: While standardized radiographic assessment is mandatory, MRI investigation should be restricted to problems apart from osteoarthritis. Indications for physical therapy, bracing and pharmaco-treatment depend on the severity of the disease. Guidelines for intraarticular injections are presented. CONCLUSION: Effective treatment of knee osteoarthritis must be based on available recommendations and guidelines.