{
  "abstract": "Musculoskeletal injury (MSKI) is the most common reason for short-term occupational limitation and subsequent medically related early departure from the military. MSKI-related medical discharge/separation occurs when service personnel are unable to perform their roles due to pain or functional limitations associated with long-term conditions, including osteoarthritis (OA). There is a clear link between traumatic knee injuries, such as anterior cruciate ligament or meniscal, and the development of post-traumatic OA (PTOA). Notably, PTOA is the leading cause of disability following combat injury. Primary injury prevention strategies exist within the military, with interventions focused on conditioning, physical health and leadership. However, not every injury can be prevented, and there is a need to develop secondary prevention to mitigate or reduce the risk of PTOA following an MSKI. Two international collaborative groups, OPTIKNEE and OA Action Alliance, recently produced rigorous evidence-based consensus statements for the secondary prevention of OA following a traumatic knee injury, including consensus definitions and clinical and research recommendations. These recommendations focus on patient-centred lifespan interventions to optimise joint health and prevent lost decades of care. This article aims to describe their relevance and applicability to the military population and outline some of the challenges associated with service life that need to be considered for successful integration into military care pathways and research studies.",
  "authors": [
    {
      "affiliations": [
        "Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre, Loughborough, UK",
        "Academic Unit of Injury, Recovery and Inflammation Sciences, University of Nottingham Faculty of Medicine and Health Sciences, Nottingham, UK"
      ],
      "name": "Oliver O'Sullivan"
    },
    {
      "affiliations": [
        "Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre, Loughborough, UK",
        "National Heart and Lung Institute, Imperial College London, London, UK"
      ],
      "name": "A N Bennett"
    },
    {
      "affiliations": [
        "Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA",
        "John A. Feagin Jr. Sports Medicine Fellowship, Keller Army Community Hospital, West Point, New York, USA"
      ],
      "name": "K L Cameron"
    },
    {
      "affiliations": [
        "La Trobe Sport and Exercise Medicine Research Centre, La Trobe University School of Allied Health Human Services and Sport, Melbourne, Victoria, Australia",
        "Australian IOC Research Centre, La Trobe University, Melbourne, Victoria, Australia"
      ],
      "name": "K Crossley"
    },
    {
      "affiliations": [
        "Department of Population and Quantitative Health Sciences, UMass Chan Medical School, Worcester, Massachusetts, USA"
      ],
      "name": "J B Driban"
    },
    {
      "affiliations": [
        "Academic Department of Military Rehabilitation, Defence Medical Rehabilitation Centre, Loughborough, UK",
        "Department for Health, University of Bath, Bath, UK"
      ],
      "name": "P Ladlow"
    },
    {
      "affiliations": [
        "Department of Orthopaedics and Sports Medicine, Erasmus MC University Medical Center, Rotterdam, Netherlands"
      ],
      "name": "E Macri"
    },
    {
      "affiliations": [
        "School of Health and Rehabilitation Sciences, The Ohio State University, Columbus, Ohio, USA",
        "OSU Sports Medicine Research Institute, The Ohio State University, Columbus, Ohio, USA"
      ],
      "name": "L C Schmitt"
    },
    {
      "affiliations": [
        "Defense Health Agency National Capital Region Medical Directorate, Bethesda, Maryland, USA"
      ],
      "name": "D S Teyhen"
    },
    {
      "affiliations": [
        "Physical Therapy Program, Department of Health and Rehabilitation Sciences, University of Nebraska Medical Center, Omaha, Nebraska, USA"
      ],
      "name": "E Wellsandt"
    },
    {
      "affiliations": [
        "Department of Physical Therapy, The University of British Columbia Faculty of Medicine, Vancouver, Washington, Canada",
        "Arthritis Research, Vancouver, Washington, Canada"
      ],
      "name": "J Whittaker"
    },
    {
      "affiliations": [
        "Physical Medicine and Rehabilitation, Uniformed Services University of the Health Sciences F Edward Hebert School of Medicine, Bethesda, Maryland, USA"
      ],
      "name": "D I Rhon"
    }
  ],
  "title": "Prevention of Post-Traumatic Osteoarthritis in the Military: Relevance of OPTIKNEE and Osteoarthritis Action Alliance recommendations",
  "uid": "8428d8b1-cca7-55da-88e6-8b6700071889"
}