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Conservative surgery of the dorsal rheumatoid wrist.

In the treatment of patients with a rheumatoid wrist, the usefulness of synovectomy by a dorsal approach has been universally confirmed. However, if the clinical results are generally good after the dorsal synovectomy, this procedure does not avoid progressive joint destruction and instability. The terms “dorsal wrist surgery” or “conservative surgery” refer to all surgical procedures (particularly designed to realign or stabilize the carpus) performed in combination with dorsal articular synovectomy. In 1977, we defined the “dorsal wrist” as a surgical anatomic entity.