Episode 268: 268. New Guidelines For Total Hip and Knee Joint Replacement

• TJA should not be delayed for trials of physical therapy, anti-inflammatory drug use, bracing, intra-articular steroid injections, or hyaluronic acid injections.
  
  
• For patients with obesity, proceed to TJA without delay, regardless of BMI.
  
  
• For patients with poorly controlled diabetes, recommend delaying TJA to improve glycemic control, but don't define poor control or specific HbA1c requirements.
  
  
• For smokers, recommend delaying TJA for a trial of smoking reduction or cessation.
  
  

https://acrjournals.onlinelibrary.wiley.com/doi/10.1002/acr.25175