Introduction Despite intensive laboratory and clinical investigation, there are no proven disease‐modifying therapies for osteoarthritis (OA). Because the disease may progress inexorably to joint destruction, with attendant pain and functional loss, orthopedic surgical procedures have an important role in the management of OA. Surgery is deployed both early in the course of disease as well as later, when joint destruction occurs. Surgery may also have a preventive role prior to the onset of OA. Accordingly, this study has 3 sections addressing current surgical treatments. The first covers arthroscopic approaches to OA, including the management of lesions commonly associated with OA, such as meniscal tears. The advent of arthroscopic surgical approaches has permitted less invasive access to joints and the opportunity to intervene earlier in the course of joint destruction, potentially to delay and/or prevent what is otherwise a predictably progressive degenerative pathway. The second section of this chapter addresses osteotomies, which are typically performed to restore a more anatomic biomechanical environment and prevent or delay the onset of OA or slow its progression. The third section discusses orthopedic procedures for advanced joint destruction, including total joint replacement (TJR) and arthrodesis (joint fusion). Finally, remarkable advances in tissue engineering
Arthritis Care and Research – Wiley
Published: Sep 1, 2010
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