Läkartidningen
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Biography Historical Article
[Georgia O' Keeffe's art--expression of female sexuality].
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The treatment of osteoarthrosis is through the insertion of an artificial joint, arthroplasty. Quantitatively, operations of the hip and the knee are the most important and the results are extremely well documented and good both in terms of functional results as well as in terms of longevity. ⋯ Even the ankle joint, hitherto resistant to arthroplasty, has yielded promising results. In the knee joint, osteotomy is a viable alternative.
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Osteoarthritis of the peripheral joints is a common cause of joint pain and joint stiffness. There is still no treatment that effectively can inhibit the structural changes of osteoarthritis, i.e. osteophytes, cartilage thinning and subchondral sclerosis. The main goal of treating patients with osteoarthritis is thus to relieve symptoms and to restore function. ⋯ However, there is good evidence for the effectiveness of both other pharmacological treatments (i.e. paracetamol) and non-pharmacological treatments like training, patient education and sometimes local treatment of affected joints. When using pharmacological treatment, a standardised evaluation is recommended. There are studies suggesting a "disease modifying effect" of some compounds, but their role in modern osteoarthritis therapy remains to be established.