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Article
November 10, 1923

SYNOVECTOMY OF THE KNEE JOINT IN CHRONIC ARTHRITIS

Author Affiliations

LOS ANGELES

JAMA. 1923;81(19):1579-1585. doi:10.1001/jama.1923.02650190009003
Abstract

My purpose in this paper is to present the value of synovectomy in carefully selected cases of chronic arthritis of the knee joint. Synovectomy, a systematic removal, total or partial, of the articular synovial membrane, has long been used in various infections of the joint, and was originally recommended as surgical treatment for synovial tuberculosis. The application of synovectomy, therefore, has been extremely restricted. Albertin, in 1895, reported two successful cases in which the operation was performed through lateral incisions for an acute infectious arthritis following penetrating wounds of the knee. Mignon, in 1899, ablated the anterior portion of the membrane in a case reported as a chronic traumatic hydrarthrosis with extreme synovial hypertrophy. Murphy, in 1916, reported two cases of synovectomy in so-called hypertrophic villous synovitis. His technic included a horseshoe skin incision with the base above and a transverse division of the ligamentum patellae, permitting upward reflection of

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