Joint Resurfacing: Boom or Bust?

A normal phenomenon associated with aging is the development of cracks and fissures caused by repetitive mechanical forces on the articular cartilage of joints. This gradual wearing away of articular cartilage, the smooth, white, glistening surface of joints, leads to arthritic changes resulting in pain, stiffness, and overall joint degeneration and is a major contributor to functional impairment and chronic disability among the elderly. It is estimated that nearly 46 million Americans suffer from some type of arthritis; the most common form is osteoarthritis (OA), which accounts for approximately half of those afflicted with this disease. Injury or overuse can lead to arthritic changes in any joint (e.g., hand, wrist, shoulder); however, loads placed on the weight-bearing joints as a result of sports, daily activities, and even obesity can accelerate the joint degenerative process of the hip, knee, and spine.