Other medical therapies for osteoarthritis of the knee

1. Joint aspiration followed by an intra-articular injection of steroids may provide pain relief.

2. Intra-articular hyaluronan is an alternative to NSAID therapy in the treatment of osteoarthritis of the knee. Intra-articular hyaluronan for knee osteoarthritis reduces pain similarly to NSAIDs.

VI. Surgical therapies. Joint lavage and arthroscopic debridement are options for patients with osteoarthritis of the knee who have not responded to pharmacologic therapy. Carefully selected patients with osteoarthritis of the knee or hip may benefit from an osteotomy. Osteotomies can provide pain relief in patients who are not candidates for total joint arthroplasty.

References: See page 195.

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