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Volume 354:2508-2509 June 8, 2006 Number 23
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Osteoarthritis of the Knee

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by Felson, D. T.
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To the Editor: The comprehensive discussion of the medical management of osteoarthritis by Felson (Feb. 23 issue)1 made no mention of the role of surgery, particularly when the disease is severe. Conclusions from the 2003 National Institutes of Health (NIH) consensus statement on total knee replacement2 identified operative interventions as perhaps the most effective treatments for osteoarthritic knees. An evidence compendium published by the American Academy of Orthopaedic Surgeons (AAOS)3 and AAOS practice guidelines4 summarize both surgical and nonsurgical options for managing this prevalent health problem.

Effective surgical options for management of osteoarthritis include arthroscopy (not for purposes of joint . . . [Full Text of this Article]



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