This book is based on a course which was given in Montreal in 1970. Following a short introduction by Ziff, a rheumatologist, there are 23 chapters contributed by 31 orthopedic surgeons. They present most of the operative procedures that are now employed in the treatment of joints diseased by rheumatoid arthritis and ankylosing spondylitis. Little space is given to the disease process, but I found the chapter by Swanson et al, on "Pathogenesis of Rheumatoid Deformities of the Hand," particularly interesting. It is an excellent summary of an important and, until recently, poorly understood aspect of this disease.
Several contributors write about their experience with articular prostheses which they have devised: D.L. MacIntosh (knee), C.S. Neer (shoulder), A.B. Swanson (metacarpophalangeal and interphalangeal), B. Walldius (knee), and J. Watson-Farrar (hip). An excellent overview is provided of the situations in which operative procedures may be considered or are positively indicated. Many authors