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Guideline Provides Evidence-Based Advice for Treating Osteoarthritis of the Knee

Rebecca Voelker
JAMA. 2009;301(5):475-476. doi:10.1001/jama.2009.31.
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A new practice guideline from the American Academy of Orthopaedic Surgeons (AAOS) underscores recent research showing that some commonly used treatments for osteoarthritis (OA) of the knee lack any strong support from scientific evidence.

The AAOS guideline, released in December, offers 22 treatment recommendations for patients with OA of the knee whose disease has not progressed to the point of needing joint replacement surgery. It supports neither the widely advertised nutritional supplements glucosamine and chondroitin sulfate or hydrochloride nor customized orthotics such as heel wedges. The guideline is aimed at primary care physicians as well as orthopedic surgeons (http://www.aaos.org/Research/guidelines/GuidelineOAKnee.asp).

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