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BMJ 2004;329 (20 November), doi:10.1136/bmj.329.7476.0-c
Most patients referred to orthopaedic surgeons for osteoarthritis of the knee have a debilitating disease. Gidwani and Fairbank (p 1220) present currently available treatments, from steroid injections and viscosupplementation to arthroscopic debridement, osteotomy, and unicompartmental and total knee replacement. They discuss indications and likely outcomes, emphasising that the role of the newest technologies such as computer assisted surgery (image guidance) and minimally invasive surgery remains to be established.
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Credit: P MARAZZI/SPL
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