AAOS updates clinical practice guideline for surgical treatment of knee OA

Fact checked byGina Brockenbrough, MA

The American Academy of Orthopaedic Surgeons has released an updated clinical practice guideline for the surgical management of knee osteoarthritis, according to a press release.

The guideline noted strong recommendations for the following:

Knee pain — The AAOS has released an updated clinical practice guideline for the surgical management of knee osteoarthritis. Source: Adobe Stock

Hyperglycemia is associated with poor postoperative outcomes and higher complications; thus, surgeons should focus on optimization of perioperative glucose control after total knee arthroplasty for patients with a hemoglobin A1c of less than 6.5.
There is no difference regarding postoperative functional scores for patients with a BMI of less than 30 kg/m² vs. patients with obesity; however, patients with a BMI greater than 40 kg/m²may be at increased risk of surgical site infection after TKA.
There is no difference between patellar surfacing and nonpatellar resurfacing in TKA.
There is no difference in outcomes or complications between kinematic or mechanical alignment principles in TKA.

The guideline recommends a multimodal pain management technique and opioid counseling for patients prior to surgery. It also highlighted similar short-term clinical and functional outcomes and complications between robotic-assisted and conventional TKA.

The full clinical practice guideline for clavicle fractures can be found at: https://www.orthoguidelines.org/topic?id=1041

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AAOS updates clinical practice guideline for surgical treatment of knee OA

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