Paul Dieppe
Osteoarthritis: time to shift the paradigm
University of Bristol
name osteoarthritis arose observation striking overgrowth marginal subchondral bone pathologists radiologists classified different forms joint disease turn century1 many years regarded simple age related degenerative wear tear phenomenon view led negative approaches research treatment recent years changed plenty interest osteoarthritis research effort led several new treatments lubricating injections joints2 cartilage transplants3 trend inherent dangers yet know whether new treatments really help patients long term introduction complex expensive treatments disorder may affect quarter worlds older people unlikely much use doctors patients need take stock ask current approaches appropriateosteoarthritis obviously important main cause joint replacement surgery common developed world set become fourth