Synovectomy

Synovectomy is a surgical procedure that involves the removal of a portion or all of the synovial membrane in a joint. This procedure is typically performed to treat inflammatory arthritis conditions that are not responsive to medical treatments.

Indications

Synovectomy is indicated in patients with persistent inflammation of the synovial membrane that is not responsive to medical treatments. This includes conditions such as rheumatoid arthritis, juvenile idiopathic arthritis, and psoriatic arthritis. It may also be indicated in patients with hemophilia who have developed synovitis due to recurrent bleeding into the joint.

Procedure

The procedure can be performed either as an open surgery or arthroscopically. In an open synovectomy, an incision is made over the joint and the synovial membrane is removed. In an arthroscopic synovectomy, small incisions are made and a camera is inserted into the joint. The synovial membrane is then removed using small instruments.

Risks and Complications

As with any surgical procedure, there are risks associated with synovectomy. These include infection, bleeding, and damage to surrounding structures. There is also a risk of recurrence of the disease in the synovial membrane.

Postoperative Care

Following the procedure, patients will typically undergo physical therapy to restore function to the joint. Pain management will also be a key component of postoperative care.

See Also

• Arthritis
• Rheumatoid arthritis
• Juvenile idiopathic arthritis
• Psoriatic arthritis
• Hemophilia
• Synovitis