Evidence-based recommendations on implantation of a shock or load absorber for mild to moderate symptomatic medial knee osteoarthritis.
The device used in this procedure no longer has a current CE-mark. The CE-mark is necessary for medical devices to be marketed in the European Union. A non CE-marked device can only be used in the context of clinical investigations with MHRA and research ethical approval.
Is this guidance up to date?
Next review: this guidance will be reviewed if there is new evidence or safety concerns.
Guidance development process
The OPCS-4 codes for implantation of a shock or load absorber for mild to moderate symptomatic medial knee osteoarthritis are:
W81.8 Other specified other open operations on joint
Y02.1 Implantation of prosthesis into organ NOC
Z84.6 Knee joint
Z94.- Laterality of operation
ICD-10 categories M17 Gonarthrosis [arthrosis knee] or M15 Polyarthrosis would be recorded
This guidance represents the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, healthcare professionals are expected to take this guidance fully into account, and specifically any special arrangements relating to the introduction of new interventional procedures. The guidance does not override the individual responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or guardian or carer.
All problems (adverse events) related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme.
Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations. Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties. Providers should ensure that governance structures are in place to review, authorise and monitor the introduction of new devices and procedures.
Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.