Can Fam Physician. 1981 Feb;27(2):285-90.
the simplistic "wear and tear" concept no longer holds and this has positive clinical implications. A parallel development has taken place in treatment techniques: there is increasing expertise in the use of physical measures and in new orthopedic reconstructive surgical approaches to multiple joints. This gives the physician alternative approaches to the patient with painful and disabling osteoarthritis. The timing of these treatment options and some considerations which lead to orthopedic referral are considered in this general discussion.
简单的“磨损”概念不再适用，这具有积极的临床意义。治疗技术也取得了平行发展：在物理治疗方法的应用和多关节新的矫形重建手术方法方面，专业知识不断增加。这为患有疼痛和致残性骨关节炎的患者提供了其他治疗方法。在本次一般性讨论中，考虑了这些治疗选择的时机以及导致矫形转介的一些注意事项。
