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Choosing Wisely Canada

Canadian Orthopaedic Assoc., Canadian Arthroplasty Soc. & Arthroscopy Assoc. of Canada

Both glucosamine and chondroitin sulfate do not provide relief for patients with symptomatic osteoarthritis of the knee.

Choosing Wisely Canada

Canadian Orthopaedic Assoc., Canadian Arthroplasty Soc. & Arthroscopy Assoc. of Canada

The use of needle lavage in patients with symptomatic osteoarthritis of the knee does not lead to measurable improvements in pain, function, 50-foot walking time, stiffness, tenderness or swelling.

Choosing Wisely Canada

Canadian Orthopaedic Assoc., Canadian Arthroplasty Soc. & Arthroscopy Assoc. of Canada

Since ultrasound is not effective at diagnosing unsuspected deep vein thrombosis (DVT) and appropriate alternative screening tests do not exist, if there is no change in the patient’s clinical status, routine post-operative screening for DVT after hip or knee arthroplasty does not change outcomes or clinical management.

Choosing Wisely Canada

Canadian Orthopaedic Assoc., Canadian Arthroplasty Soc. & Arthroscopy Assoc. of Canada

Several large reviews including thousands of patients have demonstrated that routine pathological examination of operative specimens from uncomplicated primary hip and knee arthroplasty surgeries does not alter patient management or outcome.

Choosing Wisely Canada

Canadian Orthopaedic Assoc., Canadian Arthroplasty Soc. & Arthroscopy Assoc. of Canada

The use of opioids in chronic non-cancer pain is associated with significant risks. Optimization of non-opioid pharmacotherapy and non-pharmacologic therapy is strongly recommended. Treatment with opioids is not superior to treatment with non-opioid medications in improving pain-related function over 12 months in patients with moderate to severe hip, knee or back pain due to osteoarthritis.