AAOS issues guideline for ankle osteoarthritis treatment: 5 things to know

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The American Academy of Orthopaedic Surgeons provided a new clinical practice guideline for the management of ankle osteoarthritis, according to a July 2 news release from AAOS. 

Here are five things to know:

  1. Treatment options for ankle osteoarthritis have improved, creating the need for an evidence-based guideline. 
  2. The two treatment recommendations are a moderate recommendation against using intra-articular platelet-rich plasma to treat symptomatic ankle osteoarthritis, and a strong recommendation against using intra-articular hyaluronic acid alone to treat ankle osteoarthritis.
  3. Access to hyaluronic acid remains limited because many insurance payers do not cover its use for ankle osteoarthritis. There is currently no clear, complete protocol for combining hyaluronic acid with a corticosteroid.
  4. The guideline contains 11 consensus recommendations and one limited-strength option, which is formed when there is little to no evidence on the topic.
  5. The organization is hopeful that future guidelines will review definitive surgical treatments for ankle osteoarthritis, as the new guideline only provides a broad overview of intervention options. 

Read the full guideline here.

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