Arcalion (Sulbutiamine)

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HIGH-TECH MEDICINE: NEW JOINTS
Unlike plants, humans move. We walk, dance, run, throw, grasp. And when we cannot move, we feel less than human. We are prisoners in our own bodies.
Once these prisoners had no hope.
Now medicine, engineering, and chemistry have joined to give them the gift of motion. Locked fingers pick up pins. Hobbled knees stride confidently. And rigid hips lift up from wheelchairs to leap out into the world.
My father, now 84, was crippled by a shriveled arthritic joint. Seven years ago, surgeons constructed a new knee of steel and plastic in his left leg. Today, he strolls along the boardwalk. He even dances at weddings.
If arthritis attacks the lining of the joint, it cannot move. You get stiffness, swelling, and pain. By afflicting hips, knees, and fingers, arthritis has disabled 7.3 million Americans.
In 1962, a British surgeon created and inserted the first artificial hip of plastic and steel. There was then the danger of germs invading the hip, of doctors putting it in the wrong place, and of the device coming loose from its mountings. But an explosion in technology has changed all that.
Mrs. Ann Ridilla, of Wilkes-Barre Pennsylvania, was born with dislocated hips. “For 55 years, she walked like a crab, all hunched over,” says Dr. William H. Harris, chief of hip and implant surgery at Massachusetts General Hospital in Boston. “Five years ago, we gave her new hips. She’s walking straight as an arrow.”
But problems remain. Germs still invade one new joint out of 100 within 3 years, even with massive doses of antibiotics, and occasionally the artificial hip comes loose. But meanwhile, engineers have created new joints that don’t easily break, and they have improved the moorings of the parts. The loosening rate of knees, which take a stronger pounding than hips, has also been cut.
Physicians have also freed the frozen fingers of victims of rheumatoid arthritis. Dr. Alfred Swanson of Grand Rapids, Michigan, and Dr. John J. Niebaur of San Francisco have created finger joints out of plastic called silicone. The replants are easily replaced. Soon, doctors may be able to replace elbow joints too.
Thousands have been given the gift of motion, which, for some, is close to the gift of life.
*44/266/5*

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