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Christian Dippmann1, Martin Rathcke1, Søren Overgaard2

  • 1Section for Sports Traumatology M51, Københavns Universitetshospital - Bispebjerg og Frederiksberg Hospital.

Ugeskrift for Laeger
|November 13, 2024
PubMed
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This review covers surgical options for early knee osteoarthritis in patients under 65. It aims to guide non-orthopaedic surgeons in assessing and treating younger individuals with knee injuries and early osteoarthritis.

Area of Science:

  • Orthopaedics
  • Sports Medicine
  • Rheumatology

Background:

  • Early osteoarthritis (OA) in patients aged 35-65 often follows joint injuries.
  • Increased patient expectations for physical function are noted.
  • Persistent knee pain despite non-surgical treatment presents a challenge for primary care.

Purpose of the Study:

  • To provide non-orthopaedic surgeons with an overview of surgical assessment and treatment.
  • Focuses on early osteoarthritis in patients under 65 years.
  • Aims to manage knee pain in young patients with early OA.

Main Methods:

  • Literature review of surgical assessment and treatment strategies.
  • Focus on early osteoarthritis management in younger adults.
  • Guidance for non-specialist surgeons.

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Main Results:

  • Early OA in younger adults is frequently linked to prior cartilage, meniscus, bone, or ligament injuries.
  • Surgical interventions are considered for persistent knee pain.
  • Comprehensive assessment is key for appropriate treatment selection.

Conclusions:

  • Non-orthopaedic surgeons need clear guidelines for managing early knee OA in patients under 65.
  • Surgical options should be considered for this demographic.
  • Addressing early OA can improve long-term physical function and patient outcomes.