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The COVID-19 pandemic has disrupted healthcare delivery around the world and has led to record-high waiting times for total knee replacements in the UK's NHS
In The Lancet Rheumatology , Qiang Liu and colleagues propose a predictive model for the need for total knee replacement
The Lancet Rheumatology differed from previous models in that the authors included radiological severity as a predictor
A 4-point increase in BMI is associated with a more than triple risk of needing total knee replacement
However, when radiographic severity of osteoarthritis was considered in the model, BMI was no longer a significant factor associated with total knee arthroplasty risk
Knee arthroscopy it is independently associated with total knee arthroplasty
Although patients with degenerative knee arthritis are no longer undergoing knee arthroscopy, patients with milder radiographic osteoarthritis with mechanical symptoms may still benefit from this intervention, which may even help delay total knee arthroplasty years
"Following Osteoarthritis Management Guidelines for Knee Arthroscopy is Crucial"
It is critical to follow the osteoarthritis management guidelines for knee arthroscopy
The most predictive factors associated with increased risk of total knee arthroplasty were older age, pain, and radiographic severity of osteoarthritis
The most predictive factors associated with increased risk of total knee arthroplasty were older age, pain, and radiographic severity of osteoarthritis .
Article source: Nick D Clement, Predicting the risk of needing a total knee arthroplasty, The Lancet Rheumatology, Volume 4, Issue 2, 2022, Pages e78-e79,
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