•*Reasons for the tendency of a reduced number of referred   patients to
•the Rheumasurgeon and less Synovectomies:
•                  More effective Medication?
•                  Greater number of Sub-Specialized Orthopaedic Surg.  
•                  (Spine- ,Knee-, Foot-, Handsurgeons)?
•
•The Rheumatologists Opinion: As long, as we do not know the cause of RA, a considerable reduction of the number of RA patients is not to be expected.
•
•The early application of more efficient drugs  e.g.Methotrexate and in special cases TNF drugs has certainly an effect on the destructive course of RA: “We see less wheel-chair- patients!”
•
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