How to Identify the Optimal Surgical Intervention for Your Osteoarthritic Patient (ICL 11)

  • Michael T. HirschmannEmail author
  • Nanne Kort
  • Roland Becker


What is the optimal treatment for your osteoarthritic patient? How do you decide which surgical treatment to choose? What are the treatment options surgically? When to choose what?


Knee Replacement Total Knee Replacement High Tibial Osteotomy Valgus Deformity Osteoarthritic Patient 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Dahl WD, Toksvig-Larsen S, Lindstrand A. Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis. Knee Surg Sports Traumatol Arthrosc. 2015. doi: 10.1007/s00167-015-3693-6.Google Scholar
  2. 2.
    Akhbari P, Malak T, Dawson-Bowling S, East D, Miles K, Butler-Manuel PA. The Avon patellofemoral joint replacement: mid-term prospective results from an independent centre. Clin Orthop Surg. 2015;7(2):171–6.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 3.
    Bellamy N, Hochberg M, Tubach F, Martin-Mola E, Awada H, Bombardier C, Hajjaj-Hassouni N, Logeart I, Matucci-Cerinic M, van de Laar M, van der Heijde D, Dougados M. Development of multinational definitions of minimal clinically important improvement and patient acceptable symptomatic state in osteoarthritis. Arthritis Care Res. 2015;67(7):972–80.CrossRefGoogle Scholar
  4. 4.
    Cantin O, Magnussen RA, Corbi F, Servien E, Neyret P, Lustig S. The role of high tibial osteotomy in the treatment of knee laxity: a comprehensive review. Knee Surg Sports Traumatol Arthrosc. 2015;23(10):3026–37.CrossRefPubMedGoogle Scholar
  5. 5.
    Desai AS, Karmegam A, Dramis A, Board TN, Raut V. Manipulation for stiffness following total knee arthroplasty: when and how often to do it? Eur J Orthop Surg Traumatol: Orthop Traumatol. 2014;24(7):1291–5.CrossRefGoogle Scholar
  6. 6.
    Driban JB, Hootman JM, Sitler MR, Harris K, Cattano NM. Is participation in certain sports associated with knee osteoarthritis? A systematic review. J Athl Train. 2015. doi: 10.4085/1062-6050-50.2.08.PubMedCentralGoogle Scholar
  7. 7.
    Driban JB, Lo GH, Eaton CB, Price LL, Lu B, McAlindon TE. Knee pain and a prior injury are associated with increased risk of a new knee injury: data from the osteoarthritis initiative. J Rheumatol. 2015;42(8):1463–9.CrossRefPubMedGoogle Scholar
  8. 8.
    Erturk C, Altay MA, Sert C, Levent A, Yapti M, Yuce K. The body composition of patients with knee osteoarthritis: relationship with clinical parameters and radiographic severity. Aging Clin Exp Res. 2015;27(5):673–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Fitzgerald GK, Oatis C. Role of physical therapy in management of knee osteoarthritis. Curr Opin Rheumatol. 2004;16(2):143–7.CrossRefPubMedGoogle Scholar
  10. 10.
    Fu D, Li G, Chen K, Zhao Y, Hua Y, Cai Z. Comparison of high tibial osteotomy and unicompartmental knee arthroplasty in the treatment of unicompartmental osteoarthritis: a meta-analysis. J Arthroplasty. 2013;28(5):759–65.CrossRefPubMedGoogle Scholar
  11. 11.
    Guermazi A, Hayashi D, Roemer FW, Felson DT. Osteoarthritis: a review of strengths and weaknesses of different imaging options. Rheum Dis Clin North Am. 2013;39(3):567–91.CrossRefPubMedGoogle Scholar
  12. 12.
    Holmes R, Moschetti W, Martin B, Tomek I, Finlayson S. Effect of evidence and changes in reimbursement on the rate of arthroscopy for osteoarthritis. Am J Sports Med. 2013;41(5):1039–43.CrossRefPubMedGoogle Scholar
  13. 13.
    Kim KT, Lee S, Kim JH, Hong SW, Jung WS, Shin WS. The survivorship and clinical results of minimally invasive unicompartmental knee arthroplasty at 10-year follow-up. Clin Orthop Surg. 2015;7(2):199–206.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Mayr HO, Rueschenschmidt M, Seil R, Dejour D, Bernstein A, Suedkamp N, Stoehr A. Indications for and results of arthroscopy in the arthritic knee: a European survey. Int Orthop. 2013;37(7):1263–71.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Nwachukwu BU, McCormick FM, Schairer WW, Frank RM, Provencher MT, Roche MW. Unicompartmental knee arthroplasty versus high tibial osteotomy: United States practice patterns for the surgical treatment of unicompartmental arthritis. J Arthroplasty. 2014;29(8):1586–9.CrossRefPubMedGoogle Scholar
  16. 16.
    Oatis CA, Wolff EF, Lockard MA, Michener LA, Robbins SJ. Correlations among measures of knee stiffness, gait performance and complaints in individuals with knee osteoarthritis. Clin Biomech (Bristol, Avon). 2013;28(3):306–11.CrossRefGoogle Scholar
  17. 17.
    Pandit H, Gulati A, Jenkins C, Barker K, Price AJ, Dodd CA, Murray DW. Unicompartmental knee replacement for patients with partial thickness cartilage loss in the affected compartment. Knee. 2011;18(3):168–71.CrossRefPubMedGoogle Scholar
  18. 18.
    Parsons C, Clynes M, Syddall H, Jagannath D, Litwic A, van der Pas S, Cooper C, Dennison EM, Edwards MH, EPOSA Research Group. How well do radiographic, clinical and self-reported diagnoses of knee osteoarthritis agree? Findings from the Hertfordshire cohort study. SpringerPlus. 2015;4:177. doi: 10.1186/s40064-015-0949-z.CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Peeler J, Christian M, Cooper J, Leiter J, MacDonald P. Managing knee osteoarthritis: the effects of body weight supported physical activity on joint pain, function, and thigh muscle strength. Clin J Sport Med. 2015. doi: 10.1097/JSM.0000000000000173.PubMedGoogle Scholar
  20. 20.
    Phillips JR, Hopwood B, Arthur C, Stroud R, Toms AD. The natural history of pain and neuropathic pain after knee replacement: a prospective cohort study of the point prevalence of pain and neuropathic pain to a minimum three-year follow-up. Bone Joint J. 2014;96-B(9):1227–33.CrossRefPubMedGoogle Scholar
  21. 21.
    Riddle DL, Perera RA, Jiranek WA, Dumenci L. Using surgical appropriateness criteria to examine outcomes of total knee arthroplasty in a United States sample. Arthritis Care Res. 2015;67(3):349–57.CrossRefGoogle Scholar
  22. 22.
    Roberts TT, Singer N, Hushmendy S, Dempsey IJ, Roberts JT, Uhl RL, Johnson PE. MRI for the evaluation of knee pain: comparison of ordering practices of primary care physicians and orthopaedic surgeons. J Bone Joint Surg Am. 2015;97(9):709–14.CrossRefPubMedGoogle Scholar
  23. 23.
    Roemer FW, Eckstein F, Hayashi D, Guermazi A. The role of imaging in osteoarthritis. Best Pract Res Clin Rheumatol. 2014;28(1):31–60.CrossRefPubMedGoogle Scholar
  24. 24.
    Schiphof D, van Middelkoop M, de Klerk BM, Oei EH, Hofman A, Koes BW, Weinans H, Bierma-Zeinstra SM. Crepitus is a first indication of patellofemoral osteoarthritis (and not of tibiofemoral osteoarthritis). Osteoarthritis Cartilage. 2014;22(5):631–8.CrossRefPubMedGoogle Scholar
  25. 25.
    Segal NA, Glass NA, Teran-Yengle P, Singh B, Wallace RB, Yack HJ. Intensive gait training for older adults with symptomatic knee osteoarthritis. Am J Phys Med Rehabil. 2015;94(10 Suppl 1):848–58.CrossRefPubMedGoogle Scholar
  26. 26.
    Segal NA, Nevitt MC, Lynch JA, Niu J, Torner JC, Guermazi A. Diagnostic performance of 3D standing CT imaging for detection of knee osteoarthritis features. Phys Sportsmed 2015:1–8.Google Scholar
  27. 27.
    Shin CS, Lee JH. Arthroscopic treatment for osteoarthritic knee. Knee Surg Relat Res. 2012;24(4):187–92.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Taylor AL, Wilken JM, Deyle GD, Gill NW. Knee extension and stiffness in osteoarthritic and normal knees: a videofluoroscopic analysis of the effect of a single session of manual therapy. J Orthop Sports Phys Ther. 2014;44(4):273–82.CrossRefPubMedGoogle Scholar
  29. 29.
    Thienpont E, Schwab PE, Omoumi P. Wear patterns in anteromedial osteoarthritis of the knee evaluated with CT-arthrography. Knee. 2014;21 Suppl 1:S15–9. doi: 10.1016/S0968-0160(14)50004-X.CrossRefPubMedGoogle Scholar
  30. 30.
    Uquillas C, Rossy W, Nathasingh CK, Strauss E, Jazrawi L, Gonzalez-Lomas G. Osteotomies about the knee: AAOS exhibit selection. J Bone Joint Surg Am. 2014;96(24):e199.CrossRefPubMedGoogle Scholar
  31. 31.
    Wenham CY, Grainger AJ, Conaghan PG. The role of imaging modalities in the diagnosis, differential diagnosis and clinical assessment of peripheral joint osteoarthritis. Osteoarthritis Cartilage. 2014;22(10):1692–702.CrossRefPubMedGoogle Scholar

Copyright information

© ESSKA 2016

Authors and Affiliations

  • Michael T. Hirschmann
    • 1
    Email author
  • Nanne Kort
    • 2
  • Roland Becker
    • 3
  1. 1.Department of Orthopaedic Surgery and TraumatologyKantonsspital Baselland (Bruderholz, Liestal, Laufen)BruderholzSwitzerland
  2. 2.Department of Orthopaedic SurgeryZuyderland Medical Center location Sittard-GeleenSittard-GeleenThe Netherlands
  3. 3.Department of Orthopedics and TraumatologyUniversity Hospital BrandenburgBrandenburgGermany

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