7 New Hip Osteoarthritis Recommendations

1.

Practitioners may use risk assessment tools to help predict a variety of perioperative outcomes and adverse events in patients who are candidates for THA.

2.

Obese patients with hip OA may have less positive overall outcomes than non-obese patients but moderate evidence supports similar satisfaction and improvement in pain/function after THA.

3.

Increased age is linked with lower functional and quality-of-life outcomes in patients with symptomatic hip OA undergoing THA.

4.

Mood and anxiety disorders are associated with poorer overall outcomes in patients who undergo THA; smoking places patients at risk for perioperative complications.

5.

NSAIDs are recommended to improve short-term pain and/or function in patients with symptomatic hip OA but glucosamine did not perform better than placebo for providing relief.

6.

Strong evidence supports intra-articular steroids to reduce pain/improve function in the short term for patients with hip OA but not hyaluronic acid injections which did not perform better than placebo.

7.

Physical therapy (PT) to improve function/reduce pain in patients with mild-to-moderate OA symptoms gets strong support; pre-surgical PT gets limited support and postoperative PT gets moderate support.