The pain in primary osteoarthritis of the knee. Its causes and treatment by osteotomy

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Abstract
Summary: Some results of a clinical investigation of patients with osteoarthritis of the knee are described. The different varieties of pain which occur in osteoarthritis are detailed. A sub-group of patients with primary osteoarthritis of the knee is described. In this group “venous” pain predominated; the venographic appearances are typical, and in a large proportion of cases the veins outside the bone are manifestly abnormal. It is suggested that venous congestion within the bone results from extra-osseus vein disturbances, and leads to congestive bone pain and to progressive joint degeneration. The mechanism by which osteotomy produces relief of pain is analysed and discussed. A simple procedure which reproduces some of the benefits of osteotomy is described.

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