Rheumatoid arthritis, an inflammation of the joints, is a disabling disease that can affect the appearance and the function of the hands and other parts of the body. It often deforms finger joints and forces the fingers into a bent position that hampers movement.

Disabilities  caused by rheumatoid arthritis can be managed without surgery in early stages for example, by wearing special splints or using physical therapy to strengthen weakened areas. For some patients, however, surgery offers the best solution. Whether or not to have surgery is a decision you should make in consultation with your surgeon and your rheumatologist.

Before Surgery	After Surgery

Surgeons can repair or reconstruct almost any area of the hand or wrist by removing tissue from inflamed joints, repositioning tendons, or implanting artificial joints. You can generally expect a significant improvement in function and appearance. In rheumatoid disease, the flimsy layer lining the joints called as synovial tissue becomes more.  It could cause pain, and later destruction of the supporting ligaments of the joint and joint surfaces. This synovial hypertrophy or excess could occur around the tendons.  With time the tendons rupture.  Deformities and tendon ruptures can be prevented by appropriately timed surgery.  Surgery involves removal of the excessive synovial tissue from around the tendons and inside the joint cavities.  Early surgery yields good results. 

If deformities get established, surgery can help to restore function either by rebalancing tendons or by replacement of the small joints of the hand. 
 

 Still, it's important to remember that surgical repair doesn't eliminate the underlying disease. You will require the constant supervision of the rheumatologist for disease control.