Simultaneous surgery. Surgeons operate on the knee and wrist of a patient with rheumatoid arthritis. Rheumatoid arthritis results from a disturbance in the body's defence against infection, causing immunological attack of the body's own tissues. Joints may be completely destroyed. The tendons and synovial membranes can become inflamed and swollen causing great pain and difficulty of movement. This can be relieved by removal of the synovial membranes and damaged bone and cartilage. If there is severe damage arthrodesis (surgical fusion of the bones) may be indicated for the wrist and a prosthetic joint for the knee.
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