Author | Year of publication | Study group region | Systematic review | Evidence | Indication criteria | ||||
---|---|---|---|---|---|---|---|---|---|
Pain | Function | Radiological changes | Failed or futile conservative therapy | Other criteria | |||||
Knee | Â | Â | Â | Â | Â | Â | Â | Â | Â |
Hanssen [34] | 2000 | USA | No | Level IV |  |  |  |  | As the indications continue to expand, the decision to proceed with total knee arthroplasty in young, active patients’ needs to be individualized after careful consideration of alternatives. |
Kirschner [44] | 2011 | Germany | No | Level IV | Pain during activities or rest | Â | Radiologic evidence of arthritis | Â | Â |
van Manen [30] | 2012 | USA | No | Level IV | Severe, refractory knee pain, often at night | Difficulty with activities of daily living; decreased mobility | Radiographic evidence of primary or inflammatory degenerative joint disease: Narrowed joint space; osteophytes (spurring) and bone cysts; squaring of condyles; bone sclerosis | Failure to respond to conservative measures | Current health status: Medically optimized for surgery; no evidence of infection; intact extensor mechanism; informed consent obtained |
Medical Advisory Secretariat [26] | 2005 | Canada | Yes | Level IV | Pain | Functional ability | Â | Â | Â |
Schneppenheim [28] | 2001 | Germany | No | Level IV | Debilitating pain | Severe restrictions on the activities of the patients in daily life | Significant radiographic findings | Yes | Â |
Hip | Â | Â | Â | Â | Â | Â | Â | Â | Â |
2011 | Germany | No | Level IV | Hip: pain during activities or rest | Constricted range of motion | Radiologic evidence of arthritis | Â | Â | |
Lane [33] | 2007 | USA | No | Level IV | Â | Substantial functional impairment | Â | Â | Chronic discomfort |
Levine [31] | 2013 | USA | No | Level IV | Pain refractory to nonsurgical management | Functional impairment | Radiographic findings (joint space narrowing, bone sclerosis, bone cysts femoral/ acetabular osteophytes | Yes | Physical exam findings (groin pain and decreased internal rotation), ruled out causes of referred pain including spine problems and bursitis |
Passias [32]a | 2006 | USA | No | Level IV | Incapacitating pain not responsive to conservative therapy | Function limiting symptoms: a significant deterioration in the ability to perform certain activities that are deemed important to the patient, and major lifestyle changes | Evidence of joint degeneration | Yes | Â |
Pivec [14] | 2012 | USA | No | Level IV | Pain | Functional impairment | Radiographic findings | Â | Initial course of conservative therapy should always be attempted with analgesia, activity modification, ambulatory aids, and weight loss. |
Knee and Hip | |||||||||
Altman [25] | 2005 | USA, France, Portugal, Belgium, Spain, Germany, Austria, Czech Republic, The Netherlands | Yes | Level III | Â | Â | Â | Â | The criteria for when to perform such surgery are not clear. |
Dowsey [27] | 2014 | Australia | No | Level III | Â | Â | Â | Â | Selection of suitable candidates for TJA is critical but appropriate criteria are not clearly defined. |
Mandl [29] | 2013 | USA | No | Level IV | Â | Â | Â | Â | There are no definitive recommendations for deciding which patients should be referred for TJA. |