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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: MANAGEMENT OF OSTEOARTHRITIS OF THE KNEE (NON-ARTHROPLASTY) AUC (2022)

Endorsed by: AAHKS, AANA

INDICATION PROFILE

Function-Limiting Pain

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Function-Limiting Pain that is intermittent and predictable
Function-Limiting Pain that is constant
Function-Limiting Pain that is constant with intense intermittent unpredictable episodes

Pattern of Arthritic Involvement

Arthritic Involvement predominantly in one weight bearing compartment
Arthritic Involvement predminantly in two or three compartments
Arthritic Involvement isolated in patellofemoral compartment

Imaging (Joint Space Most Involved Compartment) and Range of Motion

Minimal Joint Space Narrowing (KL 0-1)
Mild to Moderate Joint Space Narrowing (KL 2-3) with full range of extension/flexion
Mild to Moderate Joint Space Narrowing (KL 2-3) with lack of full range of extension (> 5-degree flexion contracture) and/or flexion (< 110 degrees)
Severe Joint Space Narrowing (KL 4)

Mechanical Symptoms Compatible with Meniscal Tear or Loose Body

Mechanical Symptoms Present
Mechanical Symptoms Absent

Age (Including Patient Activity Level and Physiologic Status)

Young
Middle-Aged
Elderly

PROCEDURE RECOMMENDATIONS

Treatment recommendations are not available for this patient scenario.

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APPROPRIATE USE CRITERIA

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AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS

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