类风湿性关节炎(rheumatoid arthritis,RA)好发于手、腕、足等小关节,但也常侵犯大关节,其早期治疗多以内科为主。对于早期大关节的类风湿性关节炎,外科则可以进行相应的治疗,在关节镜未广泛应用之前,多采用开放手术,对于晚期伴有重度畸形者,则采用关节置换。随着关节镜的广泛 Rheumatoid arthritis (RA) occurs mainly in the hands, wrists, feet and other small joints, but also often violates the large joints, the early treatment of mostly internal medicine. For the early large joints of rheumatoid arthritis, surgery can be the appropriate treatment, in the arthroscopic is not widely used, the use of open surgery, for those with advanced severe deformity, the use of joint replacement. With the wide range of arthroscopy