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Journal of Bone and Joint Surgery, 1968;50:605-613.
© 1968 by The Journal of Bone and Joint Surgery, Inc

Surgery for Rheumatoid Arthritis—Timing and Techniques: The Upper Extremity

RONALD L. LINSCHEID M.D.1

1 An Instructional Course Lecture, The American Academy of Orthopaedic Surgeons

Early synovectomy and reconstructive procedures not only improve the function of the hand but also prevent further destruction of these joints by the rheumatoid arthritis. Frequently by judicious use of tourniquet time, definitive surgical care can be provided for the thumb, wrist, and a number of joints of the fingers during the same surgical procedure. As much mobility as possible in the unaffected joints and the joints not operated on should be obtained by careful dressing and plaster splintage. Frequent supervision of postoperative exercises and the use of both dynamic and nocturnal splints are essential for satisfactory results.


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