The knee joint is particularly prone to be involved in metastatic processes complicating the focal lesions of gonorrhea, and the results from accepted treatment of acute gonococcal synovitis involving the knee joint are notoriously unsatisfactory.
The condition in the diseased joint is predominantly a synovitis with a serofibrinous or purulent exudate filling the synovial cavity of the joint. Bone involvement being rare, one's attention is immediately focused on the synovial sac as the important area demanding special therapeutic consideration in the abolition of infection, the relief of local discomfort, and the prevention of deformity and prolonged or permanent impairment of function.
A year ago we began to use the procedure here described in the treatment of gonococcal synovitis with serofibrinous or purulent exudates in the knee joint. Up to the present time we have treated only five cases, but the results have been so strikingly satisfactory that it is deemed