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AAOS announces new guidelines for surgical treatment of OA
The American Academy of Orthopaedic Surgeons has released a new clinical practice guideline for adults who undergo total knee arthroplasty to improve motion and provide pain relief caused by knee osteoarthritis.
“Surgical Management of Osteoarthritis of the Knee,” the new clinical practice guideline (CPG) from the American Academy of Orthopaedic Surgeons (AAOS), makes recommendations that include a reduction of risk factors, such as weight and smoking; administration of multimodal anesthesia, including local anesthetic and nerve blockade around the knee joint to decrease pain and opioid use after TKA; postoperative tranexamic acid treatment to decrease blood loss and transfusion after TKA; and same-day rehabilitation to reduce length of stay.
“Total knee replacement is a safe and effective technique that benefits patients immensely. Many of the guidelines in the CPG are strongly recommended because the literature and other evidence of good outcomes was compelling,” David Jevsevar, MD, MBA, chair of the AAOS Committee on Evidence-based Quality and Value, said in an AAOS press release.
The Society of Military Orthopaedic Surgeons, Arthroscopy Association of North America, American Geriatrics Society, American College of Radiology, the Knee Society, and American Association of Hip and Knee Surgeons have endorsed the CPG. According to the release, the new guideline is to assist clinicians in planning high-quality care for patients while complying with new regulations from CMS, which will begin issuing bundled payment for TKA procedures in select geographic markets as of April 2016.
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