Duchow J, Kohn D
Orthopädische Universitätsklinik, Homburg/Saar.
Orthopade. 2003 Oct;32(10):920-29; quiz 930. doi: 10.1007/s00132-003-0566-3.
Degenerative arthritis of the knee joint is a common problem of the middle-aged patient. Primary arthritis has to be distinguished from secondary disease caused by malalignment, instability or trauma. The key symptom is pain at the jointline on weight-bearing. Diagnosis is established from history, clinical and radiological examination. Treatment options are chosen depending on the severity of symptoms and the demands of the patient. They range from modification of sports- and recreational activities, nonoperative therapy to operative options such as resecting arthroscopic procedures, repair of damaged articular cartilage, osteotomy and unicompartmental knee arthroplasty. However, the patient has to be made aware that a cure for this disease remains to be found.
膝关节退行性关节炎是中年患者的常见问题。原发性关节炎必须与由关节排列不齐、不稳定或创伤引起的继发性疾病相区分。关键症状是负重时关节线处疼痛。根据病史、临床和放射学检查进行诊断。治疗方案根据症状的严重程度和患者的需求来选择。范围从改变运动和娱乐活动、非手术治疗到手术选择，如关节镜手术切除、修复受损的关节软骨、截骨术和单髁膝关节置换术。然而，必须让患者明白，这种疾病的治愈方法仍有待发现。
