Department of Surgery, University of Melbourne, St. Vincent's Hospital Melbourne, Vic, Australia.
Best Pract Res Clin Rheumatol. 2012 Apr;26(2):173-81. doi: 10.1016/j.berh.2012.03.004.
Musculoskeletal diseases continue to produce major disability around the world. Advances in therapy - particularly for the inflammatory diseases - have the potential to eradicate the inflammation and thus prevent joint destruction. Surgical advances include minimally invasive and computer-assisted robotic surgery, and advances in arthroscopic surgery. The development of new musculoskeletal tissues - tendons, cartilage and bone using nanotechnology and stem cells - has the potential to revolutionise the way we approach these chronic destructive diseases as well as major trauma. With the rapid increase in these conditions with an ageing population, new models of care will need to be developed to ensure that the right care is delivered at the right time by the most appropriately trained health professional and at a reasonable cost. The Bone and Joint Decade has played a significant role in focussing researchers, clinicians and health educators on these diseases and also in drawing them to the attention of Governments around the globe. While there is still much to be done, the journey has commenced and will continue into the future with education, research and service delivery into these important conditions being further enhanced.
肌肉骨骼疾病在全球范围内仍持续造成严重的残疾。治疗方面的进步——尤其是针对炎症性疾病——有可能消除炎症，从而预防关节破坏。手术方面的进步包括微创和计算机辅助机器人手术，以及关节镜手术的进步。使用纳米技术和干细胞开发新的肌肉骨骼组织（肌腱、软骨和骨骼）有潜力彻底改变我们治疗这些慢性破坏性疾病以及重大创伤的方式。随着人口老龄化导致这些疾病的迅速增加，需要开发新的护理模式，以确保由最适当训练的卫生专业人员在适当的时间以合理的成本提供正确的护理。骨骼和关节十年计划在促使研究人员、临床医生和健康教育者关注这些疾病方面发挥了重要作用，也促使全球各国政府关注这些疾病。虽然仍有许多工作要做，但已经开始了这一旅程，未来将通过进一步加强这些重要疾病的教育、研究和服务提供来继续推进。
