Team Approach: A Multidisciplinary Approach to the Management of Hip and Knee Osteoarthritis

Abstract

Disclosure: There was no source of external funding for this study. On the Disclosure of Potential Conflicts of Interest forms, which are provided with the online version of the article, one or more of the authors checked "yes" to indicate that the author had a relevant financial relationship in the biomedical arena outside the submitted work (http://links.lww.com/JBJSREV/A463).

Zhuifeng tougu capsules inhibit the TLR4/MyD88/NF-κB signaling pathway and alleviate knee osteoarthritis: In vitro and in vivo experiments

“…As an age-related joint degeneration, OA has been treated with general therapy (lifestyle changes (e.g., weight control and diet control), exercise plans (e.g., muscle exercise), and medication (e.g., non-steroidal anti-inflammatory drugs, analgesic drugs) with existing clinical treatment strategies that aggravate the burden and risk on the gastrointestinal tract and kidneys ( Grover and Samson, 2016 ; Jayakumar et al, 2019 ; Bisson et al, 2020 ). In addition, there are alternative therapeutic therapies such as anti-cytokines and inhibitors [e.g., inducible nitric oxide synthase (iNOS)] or NF-κB signaling ( Marcu et al, 2010 ) and intra-articular injection of hyaluronic acid, glucosamine, or glucocorticoid that although provide acceptable short-term effects, yet the long-term effects are not ideal ( Jevsevar et al, 2015 ).…”

Functional Outcomes of a Musculoskeletal Integrated Practice Providing Comprehensive Whole Person Care for Hip Osteoarthritis

“…Dedicated highly coordinated multidisciplinary teams, including clinical and nonclinical personnel, work in proximity with one another within well-designed clinical spaces. Such settings encourage team members to work collaboratively, nurture personal and professional relationships, and develop personalized, whole person management plans with patients through shared decisionmaking [3]. IPUs deliver a comprehensive range of services configured around the clinical condition or set of conditions by considering the patient's preferences, values, and physical, emotional, and social needs, over the full cycle of care [2,4].…”

“…Not surprisingly, long-term outcome data related to IPUs for musculoskeletal care managing patients with hip OA are lacking. The Lower Extremity Joint Pain IPU at the Musculoskeletal Institute, University of Texas at Austin, Dell Medical School is an early adopter, designed to manage hip OA among other common, disabling musculoskeletal conditions [3,9,10]. Opening its doors in October 2017, this IPU serves a diverse population in Central Texas, offering a comprehensive range of nonoperative and operative treatments.…”

Who Should Manage Periprosthetic Joint Infection? The Case for a Multidisciplinary Approach

“…The superiority of multidisciplinary care for patients with osteoarthritis undergoing primary joint replacement has been well documented and routinely practiced for years [7,14]. Surgeons, anesthesiolo-gists, social workers, and physical therapists all play a role in the care of patients before and after surgery.…”

“…Surgeons, anesthesiolo-gists, social workers, and physical therapists all play a role in the care of patients before and after surgery. Establishing an interdisciplinary care team to manage a patient together at the same facility has been shown to decrease length of stay and improve functional outcomes [14]. This is likely due to the implementation of customized treatment plans and greater comorbidity management.…”