Can Fam Physician. 1990 Mar;36:557-64.
Non-operative treatments for degenerative arthritis, such as physiotherapy, anti-inflammatory medication, and occupational therapy, can help reduce the impact of the disease on the joint and hence on the mobility of the patient. Once the joint has become so diseased that non-operative modalities are inadequate, it is the task of the orthopedic surgeon to evaluate these individuals and determine which ones would benefit from a reconstructive procedure. The author explores the indications for arthrotomies, resection arthroplasties, arthrodeses, osteotomies, and total joint replacements. Total joint arthroplasty has revolutionized the treatment of degenerative arthritis of the lower extremity, although it is not a panacea for arthritis in the lower extremity.
对于退行性关节炎，非手术治疗，如物理疗法、抗炎药物和职业疗法，可以帮助减轻疾病对关节的影响，从而提高患者的活动能力。一旦关节病变严重，非手术治疗效果不佳，骨科医生的任务就是评估这些患者，确定哪些患者可以从重建手术中受益。作者探讨了关节切开术、关节切除成形术、关节融合术、截骨术和全关节置换术的适应证。全关节置换术彻底改变了下肢退行性关节炎的治疗方法，尽管它并不是治疗下肢关节炎的万能药。
