Original article| Volume 5, ISSUE 1, P1-7, June 1928

Surgery of the knee joint A review of 55 operations

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      From my experience in this series of operations I conclude:
      • 1.
        1. That in many chronic disabled knee joints, the causes of the persistence of symptoms are contained within the joint itself.
      • 2.
        2. That the end products of gross traumatism or of infection in the types of cases above detailed are little, if at all, influenced by extrinsic measures, such as removal of foci of infection.
      • 3.
        3. That the retention of such end products within the joint, by precipitating a vicious cycle of traumatism and Joint irritation, leads to gradual deterioration of the Joint.
      • 4.
        4. That the removal of hypertrophic and obstructing tissue at a stage before joint deterioration is too advanced checks this process and results in the restitution of joint function.
      • 5.
        5. That in suppurative arthritis operated upon at a favorable time, ankylosis may be avoided by complete excision of the infected synovia.
      • 6.
        6. That joint function cannot be preserved in the presence of gross deterioration of articulating surfaces or gross invasion by granulation tissue. Such joints are fit only for arthrodesis.
      • 7.
        7. That such operations cannot be satisfactorily conducted through small incisions, and that adequate exploratory incisions are not accompanied by any additional hazard.
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