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Surgery of joints

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Abstract

Crude forms of musculoskeletal surgery have been performed through history for the treatment of deformity, pain and the horrors of battle. In more modern times Muller is credited with the first synovectomy in rheumatoid arthritis in 1884, and a Synovectomy was first performed by Richard von Volkmann (1830–1889) for joint tuberculosis. Chemical synovectomy consisting of the intra-articular injection of various agents was popular for a while but is now largely discarded. Joint resection for sepsis and tuberculosis has been documented since the early 1800s, and also joint arthrodesis, and osteotomy. Modern arthroscopic techniques have added the utility of faster intra-joint inspection and treatment while reduced surgical time exposure and often applied with the use of limb regional anaesthetic nerve blocks, to avoid general anaesthetic. Joint arthroplasty has been developed since1800s, with the use of many artificial joint components. There have been many notable pioneers of this work who are documented in this text, among them Austin T. Moore (1899–1963), George McKee (1906–1991) and Sir John Charnley (1911–1982). The success of joint arthroplasty to the hip, knee, shoulder and other joints has resulted in life-changing benefit for hundreds of arthritis and injury sufferers.

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Enquiries about data availability should be directed to the authors. Professor Buchanan has died.

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Authors and Affiliations

  1. Department of Medicine, McMaster University, Hamilton, ON, L8N 3Z5, Canada

    W. Watson Buchanan & Walter F. Kean

  2. Orthopaedic Surgery, Cumming, Georgia, USA

    Michael Graham Hogan

  3. Medicine Rheumatology, Haldimand War Memorial Hospital, 400 Broad Street, Dunnville, ON, N1A 2P7, Canada

    Colin A. Kean & Walter F. Kean

  4. Sheffield Hallam University, Sheffield, S1 1WB, UK

    K. D. Rainsford

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  1. W. Watson Buchanan
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  2. Michael Graham Hogan
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  3. Colin A. Kean
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  4. Walter F. Kean
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Correspondence to Walter F. Kean.

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W. Watson Buchanan Deceased, 28th January 2006.

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Buchanan, W.W., Hogan, M.G., Kean, C.A. et al. Surgery of joints. Inflammopharmacol 32, 45–50 (2024). https://doi.org/10.1007/s10787-023-01224-x

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