This paper contains
I. A historica l review and general indications for surgery of synovectomy in rheumatoid arthritis.
II. General indications of joint surgery for RA with various methods of surgery applied to various joints as stages progress.
III. Masuta Mori's knee joint synovectomy
a) precise description of technique.
b) Postoperative treatment
c) One example for deciding the limitation of Dr. Mori's surgical treatment relating to the unstable knee joint.
IV. Discussion
A. Summarizing review of Rheumatoid surgery up to the present including Swett, Ghormley, SmithPetersen, London, Vainio
B. Several surgical experiments made by several surgeons in order to enlarge the surgical indications of the Mori surgery technique.
V. Conclusion
The Mori surgery technique is obviously less atraumatic in intervention, though there is a greater amount of surgical removal of morbid rheumatoid tissue from the knee than is the Sweet's technique. The Mori technique should be called "Pericapsular Capsulosynovedctomy, " by which the realcause of flexion contracture is found in the anterior compartment morbid synovia and morbidly swollen supra and infra patellar fat pads of the Knee joint.
View full abstract