With all the advances and forthcoming advances in the treatment of rheumatoid arthritis which have been landing at the feet of patients and rheumatologists over the past decade, we tend to forget that joint destruction still occurs despite the use of these expensive biologic agents. And so, the biopharmaceutical firms continue to pour billions of dollars into rheumatoid arthritis research.

And so, we will continue to need the skill and services of our friend, the orthopedic surgeon.

Despi...