OPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritis

Review written by Dr Travis Pollen info

Key Points

  1. Adolescents and young adults who participate in sports are at increased risk for traumatic knee injuries and, consequently, early-onset post-traumatic knee osteoarthritis (PTOA).
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BACKGROUND & OBJECTIVE

Adolescents and young adults who participate in sports are at increased risk for traumatic knee injuries (1). These injuries can have debilitating long-term outcomes, including early-onset post-traumatic knee osteoarthritis (PTOA) (2). PTOA is characterized by pain, impaired function, weak muscles, stiff joints, and reduced quality of life (3).

Given the burden of knee injury and PTOA, the purpose of this consensus statement was to provide clinical recommendations for how to delay or prevent PTOA and optimize knee health.

Adolescents and young adults who participate in sports are at increased risk for traumatic knee injuries.
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This paper advocated for delaying the decision to have surgery until the knee is quiet and the patient has failed to reach their desired level of function conservatively.

METHODS

36 expert physiotherapists, physicians, and scientists from nine countries comprised the OPTIKNEE consensus group. The group conducted seven systematic reviews. The reviews included ~230 studies and data from over 133,000 individuals (average age ≤30 years) with traumatic knee injuries, with

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