Guidance issued for optimal timing of knee hip total joint arthroplasty

For patients with symptomatic, radiographic, moderate-to-severe osteoarthritis or osteonecrosis of the hip or knee, total joint arthroplasty (TJA) should not be delayed in order to pursue additional nonoperative treatments, according to a clinical practice guideline issued by the American College of Rheumatology and the American Association of Hip and Knee Surgeons.