Article

Knee osteoarthritis is one of the most common disabling medical conditions. With
longer life expectancy the number of total knee arthroplasty (TKA) procedures
being performed worldwide is projected to increase dramatically. Patient
education, physical activity, bodyweight levels, expectations and goals regarding
the ability to continue athletic activity participation are also increasing. For
the subset of motivated patients with knee osteoarthritis who have athletic
activity approach type goals, early TKA may not be the best knee osteoarthritis
treatment option to improve satisfaction, quality of life and outcomes. The
purpose of this clinical commentary is to present a conceptual decision-making
model designed to improve the knee osteoarthritis treatment intervention outcome
for motivated patients with athletic activity approach type goals. The model
focuses on improving knee surgeon, patient and rehabilitation clinician dialogue
by rank ordering routine activities of daily living and quality of life evoking
athletic activities based on knee symptom exacerbation or re-injury risk. This
process should help establish realistic patient expectations and goals for a
given knee osteoarthritis treatment intervention that will more likely improve
self-efficacy, functional independence, satisfaction and outcomes while
decreasing the failure risk associated with early TKA.

Langue : ANGLAIS