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Appropriate Use Criteria
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Appropriate Use Criteria
2020-01-08T18:06:15+00:00
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GUIDELINE
APPROPRIATE USE CRITERIA: OSTEOARTHRITIS OF THE KNEE: SURGICAL MANAGEMENT (2016)
INDICATION PROFILE
Function-Limiting Pain
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Function-limiting pain at moderate to long distances (walking moderate to long distances greater than one fourth mile)
Function-limiting pain at short distances (limiting activity to two city blocks, the equivalent to walking the length of a shopping mall)
Pain at rest or night
Range of Motion Extension/Flexion
Full range of extension/flexion
Lack of full extension (> 5 degree flexion contracture) and/or flexion < 110 degrees
Lack of full extension (> 10 degree flexion contracture) and/or flexion < 90 degrees
Functional Instability
No functional instability
Functional instability
Pattern of arthritic involvement (medial tibiofemoral, lateral tibiofemoral or patellofemoral)
Predominantly one compartment
More than one compartment
Imaging (joint space in most involved compartment)
Mild to moderate – Joint space narrowing as visible on imaging
Severe
Limb Alignment
Normal Alignment
Varus/ valgus
Mechanical Symptoms (compatible with Meniscal Tear or Loose Body)
Mechanical Symptoms
No Mechanical Symptoms
Age
Young
Middle-aged
Elderly
PROCEDURE RECOMMENDATIONS
Treatment recommendations are not available for this patient scenario.
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