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Journal of Bone and Joint Surgery, 1974;56:71-78.
© 1974 by The Journal of Bone and Joint Surgery, Inc

Synovectomy of the Proximal Interphalangeal Joint of the Finger in Rheumatoid Arthritis

ALAN H. WILDE M.D.1

1 From the Section of Rheumatoid Surgery of the Department of Orthopaedic Surgery, the Cleveland Clinic Foundation and the Cleveland Clinic Educational Foundation

Follow-up of one year or more (an average of three years) on ninety-eight cases of synovectomy of the proximal interphalangeal joint of the finger in rheumatoid arthritis showed that relief of pain was complete in seventy-three and partial in fourteen. There was loss of only a few degrees of motion on the average, mostly in patients with contracture of the intrinsic muscles. In only one patient did a boutonnière deformity develop. Recurrence of the synovitis occurred in 30 per cent of the patients but was persistent in only five patients.


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