Physiotherapy. Weight loss. Pain killers

Early disease modifying drugs

Fusion of joint

Removal of joint

Realignment of joint

Removal of painful bony spurs

Joint replacement

Excellent for relieving pain and restoring function. Less common for upper limbs

Infection. Dislocation. Loosening and wear. (Deep vein thrombosis. Pulmonary embolus.)

Injectable/mouldable. Biocompatible. Bioactive. Radio-opaque. Non-exothermic. Set in-vivo at room temp. Dissolution and precipitation process.

Initial fixation. Mechanical failure. Biological processes. Disturbed bone physiology

Age and weight. Size of defect. Location of defect. Patients activity levels

Screw or screw and plates. External fixator

Most spreads from elsewhere (breast/prostate). Sometimes need to stabilise the bone to prevent fracture. Small number of patients have cancer originate in the bone. Results in chemotherapy and surgery

Filling bone defect. Fixation of artificial joints. Release of antibiotics. Stabilise weakened bones