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CHRONIC ARTHRITIS

LEONARD W. ELY, M.D.
JAMA. 1913;61(9):670-671. doi:10.1001/jama.1913.04350090038013.
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In announcing a series of articles on diseases of bones and joints the editor of one of our medical journals said recently that they would set forth "certain surgical methods quite different from those generally accepted." Therein he was in error, as no "generally accepted" surgical methods exist. The treatment seems largely a matter of temperament and environment. Especially is this true of chronic joint disease, and it will remain true so long as we depend for our inspiration on clinical experience. Clinical experience always has failed us in advancing our knowledge, and it will fail us here. We have still much to learn, but we are picking our way slowly through the tangle. At present chronic arthritis falls to a great extent in the domain of the orthopedic surgeon, but the deeper I go into the subject, the more I am convinced that chronic arthritis must finally be handled

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