Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy
Unicompartmental knee osteoarthritis (UKOA) is the early stage of knee joint degeneration, which is characterized by unicompartmental degeneration and mostly occurs in medial compartment. Pain and limited motion are main symptoms, which affect patients' life quality. Periarticular knee osteotom...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-05-01
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| Series: | Orthopaedic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/os.13281 |
| _version_ | 1818246151099383808 |
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| author | Xin‐long Ma Yong‐cheng Hu Kun‐zheng Wang The Chinese Hospital Association Clinical Medical Technology Application Committee The Joint Surgery Branch of the Chinese Orthopaedic Association The Subspecialty Group of Osteoarthritis, Chinese Association of Orthopaedic Surgeons |
| author_facet | Xin‐long Ma Yong‐cheng Hu Kun‐zheng Wang The Chinese Hospital Association Clinical Medical Technology Application Committee The Joint Surgery Branch of the Chinese Orthopaedic Association The Subspecialty Group of Osteoarthritis, Chinese Association of Orthopaedic Surgeons |
| author_sort | Xin‐long Ma |
| collection | DOAJ |
| description | Unicompartmental knee osteoarthritis (UKOA) is the early stage of knee joint degeneration, which is characterized by unicompartmental degeneration and mostly occurs in medial compartment. Pain and limited motion are main symptoms, which affect patients' life quality. Periarticular knee osteotomy (PKO) for lower extremity alignment correction is an effective treatment for UKOA with abnormal alignment, which could relieve pain and improve joint function by adjusting lower extremity alignment. At present, no clinical guidelines are available for the treatment of UKOA by PKO for lower extremity alignment correction. Experts from the Clinical New Technology Application Committee of the Chinese Hospital Association, Joint Surgery Study Group of the Chinese Orthopaedic Association of the Chinese Medical Association, and Osteoarthritis Study Group of the Chinese Association of Orthopaedic Surgeons of the Chinese Medical Doctor Association formulated these guidelines. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) grading system and the Reporting Items for Practice Guidelines in Healthcare (RIGHT) were adopted to select 25 most concerning questions. Finally, 25 recommendations were formulated through evidence retrieval, evidence quality evaluation, and the determination of directions and strength of recommendations. Recommendation items 1–5 are indications and contraindications for PKO for lower extremity alignment correction, items 6–21 are surgical methods and principles, item 22 describes 3D printing corrective osteotomy technique, and items 23–25 address the perioperative period, follow‐up management, and other content. These guidelines are designed to improve the normalization and standardization of KOA treatment by PKO for lower extremity alignment correction. |
| first_indexed | 2024-12-12T14:44:15Z |
| format | Article |
| id | doaj.art-411b9827f9ad40e496116f58100fb8f3 |
| institution | Directory Open Access Journal |
| issn | 1757-7853 1757-7861 |
| language | English |
| last_indexed | 2024-12-12T14:44:15Z |
| publishDate | 2022-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Orthopaedic Surgery |
| spelling | doaj.art-411b9827f9ad40e496116f58100fb8f32022-12-22T00:21:08ZengWileyOrthopaedic Surgery1757-78531757-78612022-05-0114578980610.1111/os.13281Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee OsteotomyXin‐long Ma0Yong‐cheng Hu1Kun‐zheng Wang2The Chinese Hospital Association Clinical Medical Technology Application CommitteeThe Joint Surgery Branch of the Chinese Orthopaedic AssociationThe Subspecialty Group of Osteoarthritis, Chinese Association of Orthopaedic SurgeonsDepartment of Orthopaedics Tianjin Hospital Tianjin ChinaDepartment of Orthopaedics Tianjin Hospital Tianjin ChinaDepartment of Orthopaedic Surgery The Second Affiliated Hospital of Xi'an Jiaotong University Xi'an Shaanxi ChinaUnicompartmental knee osteoarthritis (UKOA) is the early stage of knee joint degeneration, which is characterized by unicompartmental degeneration and mostly occurs in medial compartment. Pain and limited motion are main symptoms, which affect patients' life quality. Periarticular knee osteotomy (PKO) for lower extremity alignment correction is an effective treatment for UKOA with abnormal alignment, which could relieve pain and improve joint function by adjusting lower extremity alignment. At present, no clinical guidelines are available for the treatment of UKOA by PKO for lower extremity alignment correction. Experts from the Clinical New Technology Application Committee of the Chinese Hospital Association, Joint Surgery Study Group of the Chinese Orthopaedic Association of the Chinese Medical Association, and Osteoarthritis Study Group of the Chinese Association of Orthopaedic Surgeons of the Chinese Medical Doctor Association formulated these guidelines. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) grading system and the Reporting Items for Practice Guidelines in Healthcare (RIGHT) were adopted to select 25 most concerning questions. Finally, 25 recommendations were formulated through evidence retrieval, evidence quality evaluation, and the determination of directions and strength of recommendations. Recommendation items 1–5 are indications and contraindications for PKO for lower extremity alignment correction, items 6–21 are surgical methods and principles, item 22 describes 3D printing corrective osteotomy technique, and items 23–25 address the perioperative period, follow‐up management, and other content. These guidelines are designed to improve the normalization and standardization of KOA treatment by PKO for lower extremity alignment correction.https://doi.org/10.1111/os.13281Evidence‐based medicineGuidelinesOsteoarthritisKneeOsteotomy |
| spellingShingle | Xin‐long Ma Yong‐cheng Hu Kun‐zheng Wang The Chinese Hospital Association Clinical Medical Technology Application Committee The Joint Surgery Branch of the Chinese Orthopaedic Association The Subspecialty Group of Osteoarthritis, Chinese Association of Orthopaedic Surgeons Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy Orthopaedic Surgery Evidence‐based medicine Guidelines Osteoarthritis Knee Osteotomy |
| title | Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy |
| title_full | Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy |
| title_fullStr | Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy |
| title_full_unstemmed | Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy |
| title_short | Chinese Clinical Practice Guidelines in Treating Knee Osteoarthritis by Periarticular Knee Osteotomy |
| title_sort | chinese clinical practice guidelines in treating knee osteoarthritis by periarticular knee osteotomy |
| topic | Evidence‐based medicine Guidelines Osteoarthritis Knee Osteotomy |
| url | https://doi.org/10.1111/os.13281 |
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