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World J Orthop. Oct 18, 2013; 4(4): 175-177
Published online Oct 18, 2013. doi: 10.5312/wjo.v4.i4.175
Published online Oct 18, 2013. doi: 10.5312/wjo.v4.i4.175
Multi-factorial sustainability approach is necessary to preserve knee function following osteoarthritis diagnosis
John Nyland, Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, Louisville, KY 40202, United States
Roland Jakob, Orthopaedic Surgery, Hopital Cantonal, CH-1701 Fribourg, Switzerland
Author contributions: Both authors collaboratively conceived, designed and developed this editorial.
Correspondence to: John Nyland, EdD, DPT, Division of Sports Medicine, Department of Orthopaedic Surgery, University of Louisville, 550 S. Jackson St., Louisville, KY 40202, United States. john.nyland@louisville.edu
Telephone: +1-502-8522782 Fax: +1-502-8527227
Received: May 7, 2013
Revised: July 23, 2013
Accepted: August 8, 2013
Published online: October 18, 2013
Revised: July 23, 2013
Accepted: August 8, 2013
Published online: October 18, 2013
Core Tip
Core tip: Total knee arthroplasty likely provides the best chance for knee osteoarthritic pain elimination. What is less understood by the patient is the needed reduction in recreational sport or vocational activities that will likely follow this intervention and the negative impact that elimination of these activities will potentially have on local-regional-global physiological systems, psychosocial factors, and quality of life. Patient satisfaction regarding the selection of either early knee arthroplasty or knee joint preservation is largely based on their expectations and the likelihood that these expectations are realistic.