RETHINKING THE PARADIG..AGAIN Letter to the Editor Regarding: Meiyappan KP, Cote MP, Bozic KJ, Halawi MJ. Adherence to the American Academy of Orthopaedic Surgeons Clinical Practice Guidelines for Nonoperative Management of Knee Osteoarthritis. J Arthroplasty 2020; 35(2): 347-52.