Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Sep;47(9):777-781.
doi: 10.1007/s00132-018-3612-x.

[The S2k guideline: Indications for knee endoprosthesis : Evidence and consent-based indications for total knee arthroplasty]

[Article in German]
J Lützner  1 , T Lange  2 , J Schmitt  2 , C Kopkow  2 , M Aringer  3 ; DGRh; E Böhle  4 ; ZVK; H Bork  5 ; DGOU; K Dreinhöfer  6 ; DNVF; N Friederich  7 ; Deutsche Arthrose-Hilfe e. V.; S Gravius  8 ; DGOOC; K-D Heller  9 ; BVOU; R Hube  10 ; DKG; E Gromnica-Ihle  11 ; Deutsche Rheuma-Liga Bundesverband e. V.; S Kirschner  12 ; AE; B Kladny  13 ; DGOU; M Kremer  14 ; DGU; M Linke  15 ; Deutsche Gesellschaft für Medizinische Psychologie; J Malzahn  16 ; AOK Bundesverband; R Sabatowski  17 ; Deutsche Schmerzgesellschaft e. V.; H-P Scharf  18 , J Stöve  19 , R Wagner  20 ; DGORh; K-P Günther  21
Affiliations
Review

[The S2k guideline: Indications for knee endoprosthesis : Evidence and consent-based indications for total knee arthroplasty]

[Article in German]
J Lützner et al. Orthopade. 2018 Sep.

Abstract

Total knee arthroplasty (TKA) is one of the most frequent surgical procedures in orthopaedic surgery. Until now there have not been any standardized indication criteria, which might contribute to the large geographical differences in the frequency of TKA. This guideline aims to consent minimal requirements (main criteria), additional important aspects (minor criteria), as well as relative and absolute contraindications for TKA. The following main criteria have been consented: knee pain, radiological confirmation of osteoarthritis or osteonecrosis, inadequate response to conservative treatment, adverse impact of knee disease on the patient's quality of life and the burden of suffering due to the knee disease. Relative contraindications have been consented as severe general disease with reduced life expectancy and a BMI ≥40; absolute contraindications are an active infection and if the patient is not able to undergo major surgery.

Keywords: Arthrosis; Knee replacement; Osteoarthrosis; Osteonecrosis; Superior tibiofibular joint.

PubMed Disclaimer

References

    1. J Arthroplasty. 2016 Aug;31(8):1654-60 - PubMed
    1. J Bone Joint Surg Br. 2010 Sep;92(9):1253-8 - PubMed
    1. Ann Rheum Dis. 2014 Jul;73(7):1323-30 - PubMed
    1. Arthritis Care Res (Hoboken). 2014 Apr;66(4):592-9 - PubMed
    1. Am J Manag Care. 2009 Sep;15(8 Suppl):S223-9 - PubMed

LinkOut - more resources