G Model

JPHYS-329; No. of Pages 1

Journal of Physiotherapy xxx (2017) xxx–xxx

Journal of
PHYSIOTHERAPY
journal homepage: www.elsevier.com/locate/jphys

Appraisal Clinical Practice Guidelines

Knee osteoarthritis
Surgical Management of Knee Osteoarthritis Evidence-Based Clinical Practice Guideline

Date of latest update: December 2015. Hip and Knee Surgeons. Location: http://www.orthoguidelines.org/
topic?id=1019. Description: This guideline is intended to enhance
Patient group: Adult patients with suspected or confirmed osteoar-
musculoskeletal care for adult patients undergoing surgical manage-
thritis of the knee. Intended audience: Primarily orthopaedic
ment of knee osteoarthritis. The guideline provides evidence-based
surgeons and secondarily a variety of healthcare professionals,
recommendations that address 42 questions generated by the work-
including physiotherapists. Additional versions: This is an updated
ing group to define risk factors, types of anaesthesia, surgical
version of a previous guideline. The full 661-page version, including
approaches, postoperative mobilisation/supervised exercises that
all summary tables and brief summaries of the key recommendations,
affect outcomes, including pain and complication rates. For
is available. Expert working group: The group was chaired by an
physiotherapists, the most relevant points are recommendations
assistant clinical professor of medicine and consisted of 13 members
suggesting strong evidence for that rehabilitation initiated on the
representing additional professional societies, including: four from
day of arthroplasty reduces length of hospital stay, and that
the American Academy of Orthopaedic Surgeons; three from the
postoperative continuous passive motion does not improve
American Association of Hip and Knee Surgeons; and one from each
outcomes. This guideline for surgical management of knee
of the Arthroscopy Association of North America, American Ortho-
osteoarthritis is the most recent among a number of guidelines
paedic Society for Sports Medicine, Society of Military Orthopaedic
related to orthopaedic conditions that have been funded by the
Surgeons, American Physical Therapy Association, Society of Hospital
American Academy of Orthopaedic Surgeons. All of which are freely
Medicine, and American Society of Anesthesiologists. Funded by: The
available at http://www.aaos.org/guidelines/?ssopc=1.
American Academy of Orthopaedic Surgeons. Consultation with: The
professional associations represented and within the American Provenance: Invited. Not peer reviewed.
Academy of Orthopaedic Surgeons organisation. Approved by: The
American Academy of Orthopaedic Surgeons. Endorsed by:
Arthroscopy Association of North America, American College of
Radiology, Society of Military Orthopaedic Surgeons, The Knee Goris Nazari
Society, American Geriatric Society, and American Association of Western University, Canada

http://dx.doi.org/10.1016/j.jphys.2017.04.004
1836-9553/© 2017 Australian Physiotherapy Association. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.
org/licenses/by-nc-nd/4.0/).

Please cite this article in press as: Nazari G. Knee osteoarthritis. J Physiother. (2017), http://dx.doi.org/10.1016/j.jphys.2017.04.004