Objective To study the comprehensive surgical method for rheumatoid arthritis of knee.Methods 38 cases of total knee replacement for rheumatoid arthritis were analyzed using the John.N.lnsall(HSS) score system.Results The result showed that the joint function improvement were excellent in 86.9%,especially in deformity relief.Conclusion The patient with rheumatoid arthritis has lots of complications,comprehensive surgical method is an effective method for treating rheumatoid arthritis.