The orthopedic treatment of chronic arthritis should start at the very beginning of the arthritis and should be carried along in close cooperation with the medical care.
There are three objectives in the treatment of chronic arthritis: (1) to control and stop the disease, (2) to prevent deformity during the course of the disease, and (3) to restore the patient to his normal life as functionally capable as possible. A fourth objective might be added to prevent recurrence of the disease. This might seem unnecessary but is an important factor in the follow up of every case. I consider this as important as any part of the treatment, since relapses are common.
The medical problem in the first of these objectives demanded of treatment I shall not discuss, yet there is a very practical way in which the orthopedist can materially aid in the success of the medical treatment. He