Non Pharm Treatment of OA

Question 1

Order of tx for OA

Answer 1

Patient education
Therapeutic exercise and physical activity
Weight management
Pharmacological symptom management
Consideration of joint surgery

Question 2

How does obesity influence OA?

Answer 2

Associated with a systemic pro-inflammatory state that may accelerate joint degeneration and increase the sensitization of the nociceptive system (enhancing OA pain)
Also extra weight on the joints

Question 3

Who should be referred for surgery?

Answer 3

People with OA whose symptoms are not sufficiently controlled through nonsurgical management and whose quality of life is negatively impacted by their joint related symptoms

Question 4

Knee biologic triad

Answer 4

Alignment
Ligament stability
Chondral meniscal function

Question 5

Autologus cartilage transplantation

Answer 5

Multiple osteochondral cylindrical plugs harvested
Take from zone of less weight bearing
Insert into weight bearing

Question 6

High tibial osteotomy

Answer 6

Nails and screws in the tibia and femur to put more load on the healthy aspect of the knee
Restores alignment, reduces pain, increases function
Restore/improve mechanical environment
Decrease force on ligaments and grafts
Delay/defer total knee replacement