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

Brief summary, from the abstract

An international expert panel produced consensus definitions and recommendations on how to rehabilitate people after a traumatic knee injury, with the aim of preventing post-traumatic knee osteoarthritis.

  • The consensus drew on 7 systematic reviews and used a structured 7-step process, with a 36-member expert group rating each item on a 9-point appropriateness scale.
  • It produced 7 definitions, 8 clinical recommendations (who, what and when to target, rehabilitation approach, and what outcomes to monitor) and 6 research recommendations.
  • Nearly all items were rated appropriate (median scores 7 to 9); only two subcomponents of one clinical recommendation were rated uncertain (median 4.5 to 5.5).
  • This is expert consensus guidance rather than a new trial, and the authors note the supporting evidence varied in strength across recommendations.
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