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Synovectomy surgery

Synovectomy: Arthroscopic Joint Surgery for Synovitis HS

  1. Synovectomy A synovectomy is a surgical procedure for the treatment of synovitis in which part of the synovium of a joint is removed. It may be performed either as an open surgery or with the aid of an arthroscope. HSS performs many synovectomies arthroscopically, but the chosen surgical technique often depends on which joint is affected
  2. ute period
  3. Synovectomy is the surgical removal of synovium from an inflamed joint. It can be performed as an open procedure or by arthroscopy, depending on the joint involved and the skill of the surgeon
  4. imal soft tissue trauma
  5. Synovectomy surgery is done to remove inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion
  6. imally invasive procedure, arthroscopic shoulder synovectomy is the removal of the inflamed synovium, a membrane that lines the shoulder
  7. A synovectomy is a surgical procedure for those suffering from significant pain and loss of function due to rheumatoid arthritis. This surgery is usually performed with an arthroscope, a thin, lighted tube attached to a television screen which is inserted through a small incision in the affected area

Synovectomy is a surgical procedure in which a portion or whole of the synovial membrane lining the joint is removed. The synovial membrane (also known as synovium) is a connective tissue that.. Chondroplasty of knee - 29877, Partial synovectomy - 29875 Chondroplasty of knee is the higher value procedure than partial synovectomy. But in the CCI edits,while seeing 29877 it shows 29875 (not allowed) in the CCI Greater px which is a lower dollar value Variable: A synovectomy is a surgical procedure in which the inflammed synovium, or lining of a joint, is removed. This can usually be done arthroscopically. Recovery will depend on which joint is operated on and how severe the disease within that joint was. A common indication for synovectomy is rheumatoid arthritis If your doctor does find that your synovium is swollen and inflamed, a synovectomy may be performed. A shaving device will be inserted through each of the incisions one at a time and will remove the inflamed parts of the synovium. These parts are then taken out of the knee and the area is washed with fluid ARTHROSCOPIC KNEE SURGERY REHABILITATION PROTOCOL . MENISCECTOMY, SYNOVECTOMY, CHONDROPLASTY . GENERAL GUIDELINES - The local anesthetic (similar to novacaine) in your knee lasts 6-12 hours - Start taking the pain medication as soon as you start to feel any pain - Stay ahead of the pain with your pain medicatio

Surgical synovectomy is indicated when synovitis persists in spite of adequate medical management and there is pain and early correctible deformities. Besides removing the synovium, it is necessary to reconstruct the capsular support and correct alignment Surgery Overview Synovectomy surgery is done to remove inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy

KNEE ARTHROSCOPY and SYNOVECTOMY 1. Day of surgery: Instructions Immediate Post-Op A. Diet: as tolerated B. Ice pack to knee every 1 to 2 hours, while awake, for 20 minutes. C. Pain medication as needed every 4-6hours. It is helpful to take pain medication approximately one-half hour prior to exercise session Synovectomy. Synovectomy surgery is done to remove inflamed joint tissue (synovial membrane) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy Synovectomy is surgery to remove the inflamed synovium from a joint. In people with rheumatoid arthritis, synovectomy is most frequently performed on the wrists and knees. Synovectomy may also be performed on ankles, elbows, finger joints, hips, and shoulders. Synovectomy can relieve pain and restore function Synovectomy Joint synovectomy is the surgical removal of the synovial membrane, the tissue that lines the joint capsule. Synovium surrounds the body's joints and produces synovial fluid to help lubricate the joint enabling smooth movement Synovectomy is an arthroscopic or open procedure in which the synovium, or membrane that lines the joints, is surgically reduced due to an overgrowth. The synovium can become overgrown or inflamed as a result of Rheumatoid Arthritis or trauma. Inflamed synovium creates an excess of synovial fluid and tissue that can deteriorate joint cartilage.

Synovectomy - an overview ScienceDirect Topic

A synovectomy to clean up a joint on which another more extensive procedure is performed is not separately reportable. CPT code 29875 shall not be reported with another arthroscopic knee procedure on the ipsilateral knee. CPT code 29876 may be reported for a medically reasonable and necessary synovectomy with another arthroscopic knee. The goal of preventative rheumatoid hand surgery is the eradication of the diseased synovium or tenosynovium before irreparable joint or tendon destruction occurs. Although there is general agreement that both dorsal and flexor tenosynovectomy are reliable and effective procedures to prevent the com A synovectomy can help to prevent further arthritic damage in the joint and prevent recurrent joint swelling. What is plica resection? Plica resection is an arthroscopic knee surgery that involves removing abnormal synovial tissue

http://www.nsmoc.com/This case study is a female, collegiate soccer player has a nonspecific inflammatory synovitis emanating from the pulvinar tissue within.. A synovectomy can be performed in three ways, namely open, arthroscopic, and radiation synovectomy. General anaesthesia (a sleep-inducing medicine) is administered before the surgery begins. An intravenous (IV) line will be placed in your arm to give fluids and medications. IV prophylactic antibiotics will be given before the surgery. Open. Surgery Overview. Synovectomy surgery removes the inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy Surgery. Joint synovectomy can be performed as an open surgical procedure or arthroscopic surgery under general anesthesia. It is usually performed as an outpatient procedure. In the open technique, an incision is made over the affected joint. The joint capsule is exposed and access is gained to the synovial membrane

Synovectomy. Synovectomy surgery refers to the surgical removal of the membrane that lines a joint which is causing unacceptable pain or is limiting your ability to function. There are various disorders that are indications for synovectomy. Among them are chronic inflammatory arthritis (eg, rheumatoid arthritis), benign tumors (eg. Synovectomy surgery is performed to get rid of inflamed joint tissue (synovium) that is producing intolerable pain or is restraining your ability to function or your range of motion. In the procedure, ligaments and other structures may be moved to one side to access and remove the inflamed joint lining. Back to the top. Product search type Synovectomy Forceps. Aesculap Product Groups General Surgical Instruments. Geometry curved. Length 130.00 mm. Length (Inch) 5 1/8. Width (mm) 2.000 mm. Discipline Traumatology Hand / Foot Surgery Spine Surgery Orthopaedics Neurosurgery. Surgical Step Dissection-Bone. Type of Sterilization not sterilized ex works London PS (1955) Synovectomy of the knee in rheumatoid arthritis. An essay in surgical salvage. J Bone Joint Surg 37:392. Google Scholar 8. Lotke PA (1985) Knee surgery. In: Utsinger, Zraifler, Ehrlich (eds) Rheumatoid arthritis. Lippincott, Philadelphia, pp 783-793. Google Scholar 9 Elbow synovectomy is a well-recognized and accepted form of treatment for the rheumatoid elbow. Although it has traditionally been performed through an open arthrotomy, arthroscopic synovectomy is gaining popularity. Compared with open synovectomy, arthroscopic synovectomy is less invasive, can be done as an outpatient procedure, allows more.

Synovectomy Knee - Indications and Procedure Bone and Spin

Arthroscopic Shoulder Synovectomy Orange County Surgeon

1. J Hand Surg Am. 2010 Sep;35(9):1442-8. doi: 10.1016/j.jhsa.2010.04.034. Epub 2010 Jul 29. Effects of extensor synovectomy and excision of the distal ulna in rheumatoid arthritis on long-term function Synovectomy with or without radial head excision is a well-recognized and accepted form of treatment for the rheumatoid elbow. This procedure reduces the amount of joint fluid and removes proliferative synovitis, and thereby decreases intra-articular pressure, relieves pain, and reduces swelling During ankle synovectomy, inflamed membrane that lines the joint is removed. Also Known As: Ankle surgery; Ankle membrane surgery; Conditions Treated with Ankle Synovectomy: Ankle synovectomy is utilized to treat hemophilia, synovitis and pigmented villondular synovitis, as well as arthritis and rheumatoid arthritis of the ankle Procedure/Surgery Cost; Trigger Finger: $2,890: Ulnar Collateral Ligament Repair: $3,665: Synovectomy, Tendon Sheath, Radical (Tenosynovectomy,) Flexor Tendon, Palm.

Synovectomy; Hand and wrist surgery; Other surgeries may include hip replacements as well as shoulder, elbow, knee, back, and neck surgeries. Arthroplasty. Arthroplasty is performed when the affected joint is entirely replaced or reconstructed. Joint bones can be reshaped to correct the joint structure. Otherwise, new joints can be constructed. Synovectomy recovery time? 1 doctor answer • 2 doctors weighed in. Share. Dr. Greg Hicken answered. Specializes in Orthopedic Reconstructive Surgery. 3-4 weeks: Generally a patient can recover and return to work and sports after 3-4 weeks following a knee scope for synovectomy. 5.8k views Reviewed >2 years ago Synovectomy as a surgical procedure to relieve various affections of the knee joint dates back at least as far as 1877, when the German surgeon Volkmann employed it in the treatment of tuberculosis of the knee joint. During the next twenty years, the operation was used quite extensively in the..

New surgery video: Arthroscopic Synovectomy to relieve pain caused by shoulder arthritis. Posted on September 16, 2020. An arthroscopic synovectomy is a minimally invasive procedure to treat synovitis and other conditions that affect the synovium. The synovium is a thin membrane that lines the inside of the joints Arthroscopic synovectomy as good as surgery for rheumatoid wrists Korean investigators found the technique to be less traumatic than surgery

Synovectomy refers to the destruction or surgical removal of the membrane (synovium) that lines a joint. As the largest articulation and the one most frequently affected by chronic inflammation, the knee is the joint most often selected for synovectomy. Open surgical, chemical, radiation, and arthroscopic synovectomies are all options for. Synovectomy: This surgery is usually indicated for early cases of inflammatory arthritis where there is significant swelling (synovitis) that is causing pain or is limiting the range of motion of your digits and thumb. Synovectomy is a surgical removal of the inflamed synovium (tissue lining the joint) Synovectomy surgery is done to remove inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy

What is a Synovectomy? (with pictures) - Info Bloo

Synovectomy with or without radial head excision is a well-recognized and accepted form of treatment for the rheumatoid elbow. This procedure reduces the amount of joint fluid and removes proliferative synovitis, and thereby decreases intra-articular pressure, relieves pain, and reduces swelling. After a few months, a new synovial membrane is. Pros: Synovectomy can improve symptoms significantly, says Robert N. Hotchkiss, MD, director of research in the hand and upper extremity service at Hospital for Special Surgery in New York City. Performance and pain scores improve, swelling goes down and many [patients] return to near-normal function, he says

Author information: (1)* Department of Orthopedic Surgery, Institute of Rheumatology, Tokyo Women's Medical University, Tokyo, Japan. BACKGROUND: We reviewed our surgical results of open synovectomy with radial head resection for rheumatoid elbow Arthroscopic synovectomy. Arthroscopic synovectomy is a minimally invasive procedure to remove the tumor and the damaged part of the joint lining. You'll typically have this surgery while under. An osteocapsular arthroplasty is a combination of debridement and synovectomy. This procedure is also used frequently for arthritic elbows, and may involve re-contouring the ends of bones that have degenerated or become deformed. Surgery for tennis elbow is seldom recommended unless the patient is experiencing pain that is incapacitating and. Synovectomy People who have inflammatory arthritis in the knee sometimes choose a synovectomy, which is removal of the inflamed lining of the knee joint. It is often performed arthroscopically (through a small incision using a knee scope) and can often slow down progression of the disease and postpone more invasive surgery if it is performed.

Ogilvie-Harris DJ, McLean J, Zarnett ME. Pigmented villonodular synovitis of the knee. The results of total arthroscopic synovectomy, partial, arthroscopic synovectomy, and arthroscopic local excision. The Journal of bone joint surgery American volume. 1992;74(1):119-23. CAS Article Google Scholar 21 Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or lateral) 29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty Main types of hand & wrist surgery. In treatment of RA-related problems affecting the hands and wrists, the overriding goal is to control disease activity. Surgical interventions are only useful if systemic inflammation is controlled. Therefore, surgery must be seen as secondary to disease-modifying anti-rheumatic drugs (DMARD) and other treatments that aim to provide disease control synovectomy definition: 1. an operation to remove the synovial membrane (= part of the structure that helps bones to move. Learn more While surgery may improve the look of the hands, remember that the main purposes of surgery are to decrease severe pain and to restore function. Surgical Options for the Hand and Wrist There are several types of operations that are performed on the hands and wrists: tendon repair, synovectomy, joint replacement, and arthrodesis

ABLATION. Ablation is the surgical technique of applying extreme cold or extreme heat to destroy the TGCT cells that may not be found during these surgical approaches. Ablation is used in combination with a synovectomy to attempt to ensure the tumor cells are removed. Cryoablation (also known as cryosynovectomy) is the use of extreme cold where. What is a synovectomy? Synovectomy surgery involves removing painful inflamed tissue from around your joints. It is performed through arthroscopy and commonly used to treat joints affected by early rheumatoid arthritis, where the bone and cartilage has been unaffected.. Synovectomy can help to reduce pain and increase function, relieving symptoms temporarily and delaying or even preventing the.

After knee surgery, it is common to feel pain in your knee. Pain medicine will be given to help relieve this. Swelling of the knee is also very common, because of the fluid used during the surgery Synovectomy - Tendon Sheath, Radical (Tenosynovectomy), Flexor Tendon, Palm and/or Finger, Each Tendon Price: $2,950.00 CPT Code: 2614

Synovectomy - Types, Risks & Complication

1—Hip Knee Shoulder Surgery Authorization and Coding Reference Guide - 2020 . Magellan Hawai'i . 2020 Hip, Knee and Shoulder Surgery Authorization and Hip Surgery - Other Includes synovectomy, loose body removal, debridement, diagnostic hip arthroscopy, and extra-articular arthroscopy . 29860, 29861, 29862, 29863 PHASE I (surgery to 2-3 weeks after surgery) Appointments • Rehabilitation appointments begin 3-5 days after surgery Rehabilitation Goals • Protect the post-surgical knee • Restore normal knee range of motion • Normalize gait • Eliminate swelling (i.e. effusion) • Restore leg control Precautions • Use axillary crutches for normal gai This article presents the experience made with arthroscopic synovectomy in CPPD disease of the wrist. PATIENTS AND METHODS: Out of 74 arthroscopic synovectomies in 71 patients with symptomatic CPPD disease of the wrist, 46 operations in 43 patients were followed for an average of 26.6 months after surgery. 15 women and 28 men at an average age.

Accurate Surgical Instruments offer the highest quality surgical instruments used in Hand Surgery operations and procedures. TOLL FREE:1-800-645-3569 WEST COAST TOLL FREE 1-800-255-9378 TEL: 516-333-2570 • FAX: 516-997-4948 • WEST COAST SALES: 619-296-9945 Synovectomy Rongeur 17cm extremely delicate, slight curve 2x5mm bite. If the condition goes untreated, joint replacement surgery may be needed. A synovectomy, or removal of the excess synovium, can help relieve symptoms and restore normal function to the joints when other methods of pain relief are not working. The procedure may be performed on the knees, fingers, hips, wrists and elbows Alternatively, arthroscopic synovectomy may provide substantial relieve of symptoms, improve functionality, slow down disease progression and prevent joint destruction, as earlier studies have suggested. Prospective randomized studies are needed to confirm these findings. Wrist arthroscopy in day surgery setting with debulking of synovitis. Rheumatoid arthritis (RA) is an autoimmune disease characterized by chronic and aggressive polyarthritis. The prevalence of RA in China is about 0.42%. Arthroscopic synovectomy (AS) is an important method to save the function of joint in the treatment of refractory RA

Surgery. A synovectomy is completed arthroscopically in the majority of cases. The arthroscopy is completed, the diagnosis confirmed and then a motorised shaver is used to shave away the inflamed lining of the joint. Over time the lining will grow back, but hopefully following a synovectomy it grows back in a less inflamed and less painful form • Synovectomy Procedures For coding Synovectomy procedures, the following applies: 1. The 29875 code for an Arthroscopic Limited Synovectomy includes the partial resection of synovium or plica from one knee compartment. Code 29875 is considered a Separate Procedure, thus if a Limited Synovectomy is performed in the same compartment wit Surgical synovectomy, major, two or more compartments,arthroscopic (Outpatient) $ 4,000 Provider Summary Surgery for infection, lavage & drainage, arthroscopic (Outpatient) $ 4,000 Surgery with & without biopsy, arthroscopic (Outpatient) $ 4,000 Surgery with.

Arthroscopic Knee Surgery Post-Operative Information Weight Bearing and Recovery Time for: Meniscectomy, Chondroplasty, Loose Body Removal, Diagnostic Arthroscopy, Synovectomy, Debridement, Articular Cartilage Biopsy, and Arthroscopic Lateral Release: You will be weight bearing as tolerated immediately after surgery until your recovery is complete Benedict Nwachukwu, MD, MBA is an orthopedic shoulder, knee and hip specialist at Hospital for Special Surgery (HSS), nationally ranked as the best in orthopedics for 10 years by U.S. News & World Report.His academic credentials include undergrad at Columbia University, Harvard Medical School, Harvard Business School, residency at HSS, and sports medicine fellowship training at world-renowned. The surgery was performed between January 2003 and January 2009 on 42 patients. Arthroscopic synovectomy was performed on 22 knee joints in 22 patients, including six men and 16 women with a mean age of 36.05 ± 17.34 years (range, 12-66 years) The first record of a complete synovectomy in chronic arthritis is an article by Mignon 1 in 1899, in which he reported the removal of all the synovia from the anterior compartment of the knee. In a patient with chronic traumatic arthritis with hydrops of the joint, he reported a complete restoration of function in six months 29875 Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) • Limited synovectomy is defined in CPT as a separate procedure. As such, do not report 29875 with another arthroscopic procedure in the same knee. Report it when it's the only arthroscopic procedure performed on that knee

Synovectomy for rheumatoid arthritisSynovectomy surgery is done to remove inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy The exhibit illustrates arthroscopic surgery of the left knee. Synovectomy, medial meniscectomy, and chondroplasty procedures are performed to treat major synovitis, a complex medial meniscus tear, and multiple chondral fractures. Removing the inflamed tissue and debriding the degraded areas treats knee pain and helps restore joint function Synovectomy Coding. April 28, 2016. Question: Since January we have not been able to get code 29875-59 paid. All of our claims are coming back bundled to code 29880. I have submitted the operative reports showing that it was a separate procedure, performed in a separate compartment however our appeals are also being denied

Chondroplasty and synovectomy of knee Medical Billing

OBJECTIVE To consider the question: How strong is the evidence in favour of yttrium synovectomy in chronic knee arthritis in patients with rheumatoid arthritis in comparison with placebo and intra-articular steroid treatment? METHODS A systematic review of the literature was performed using Medline and the Embase database. RESULTS Initially, seven papers were identified, but only two met the. Yang 2016 [18] 67 45.4 118 Synovectomy Synovium-retaining 1,2,3,4,5,6 NS RCTs Zhaoning 2013 [5] 65 38.7 187 Synovectomy Synovium-retaining 1,2,3,4,5,6 12 months RCTs Hu 2017 [19] 70 42.5 105 Synovectomy Synovium-retaining 1,2,3,4 3 months RCTs Zhao et al. Journal of Orthopaedic Surgery and Research (2018) 13:51 Page 2 of Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna (25119) Capsulorrhaphy or reconstruction, wrist, any method eg, capsulodesis, ligament repair, tendon transfer or graft) (includes synovectomy, capsulectomy, and open reduction) for carpal instability (25320 Synovectomy, Tendon Sheath, Radical (Tenosynovectomy), Flexor Tendon, Palm and/or Finger, Each Tendon Procedure to remove inflamed tissue that cause pain or a decrease in function. 2614

Synovectomy: 29863 Labral repair, Cartilage repair, CAM lesion, Pincer lesion, Acetabuloplasty, Femoroplasty Hip Surgery - Other 29863 primary surgery request and when completed in combination, do not require a separate authorization. Revision Knee Arthroplasty 27487 27486, 2748 Debridement covers many types of arthroscopic surgery and may include but is not limited to variable amounts of the following treatments: partial synovectomy, decompression and resection of plicae/adipose tissue, partial menisectomy, chondroplasty, loose body removal, and/or osteophyte removal

Arthroscopic Debridement of Right Scapholunate Ligament Tear

The lateral synovectomy, CPT 29875, is inclusive in the lateral meniscectomy procedure reported with CPT 29881. Only the medial compartment will have a final synovectomy reporting of CPT 29875. Medial = 29875. Lateral = 29875 + 29881 = 29881 (CPT 29875 bundles into 29881) Patellofemoral = n/a. The correct codes for the example listed above are. Synovectomy: 29863 Labral repair, Cartilage repair, CAM primary surgery request and when completed in combination, do not require a separate authorization. Revision Knee Arthroplasty 27487 27486, 27487 Revision knee replacement, Revision TKA, Revision TKR, Re-do kne Part 2 - Surgery: Musculoskeletal System Page updated: December 2020 Table of CPT codes for Reimbursable Procedures (continued) Code Description 29843 Arthroscopy, wrist, surgical; for infection, lavage and drainage 29844 Arthroscopy, wrist, surgical; synovectomy, partial 29845 Arthroscopy, wrist, surgical; synovectomy, complet Surgery Overview. Synovectomy surgery is done to remove inflamed joint tissue (synovium) that is causing unacceptable pain or is limiting your ability to function or your range of motion. Ligaments and other structures may be moved aside to access and remove the inflamed joint lining. The procedure may be done using arthroscopy Forefoot surgery has the advantage that most patients can walk on their heels. Because we find that our patients are careful during the recovery time, we allow our patients to put full weight on their heels after their first post-op visit. Follow up to the office 5 to 7 days after surgery. Keep the postoperative dressing dry

or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability 25337 Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without open reduction of distal radioulnar join Although satisfactory results have been obtained with conventional synovectomy of the knee, there are frequent complications, and a long period of rehabilitation is necessary after this surgery. We performed arthroscopic synovectomy of the knees of 30 patients (33 knees), 22 of whom had rheumatoid arthritis

Arthroscopy of Right Ankle Joint with Chondroplasty81 Thumb CMC and MCP Joint Arthroscopy | Plastic Surgery Key

cular injury or wound infection, during or after the surgery. The pain scores and range of motion scores (Table 2) improved significantly after arthroscopic synovectomy. All the patients had fair and poor Lysholm knee joint function scores before the treatment. After surgery, 6 o Resection of the distal ulna is almost always described in association with other procedures (most often synovectomy and stabilizing surgery) and in patients with ulnar head syndrome refractory to medical treatment in the absence of wrist instability. In all, results of these studies suggest that the Darrach procedure is followed by significant. Because arthroscopic synovectomy is a technically demanding procedure, the treatment of DPVNS remains difficult. 18,33 The combination of additional portals with the use of multiple shavers and radiofrequency for complete synovectomy has been introduced for sophisticated synovectomy. 38 Our experience also proved the benefits of using a.

Shoulder Surgery : Coding and Billing. Diagnostic specificity: In the current value-based reimbursement system, specificity of the diagnosis is vital. In ICD-10, diagnostic codes require anatomical specificity and laterality as to the area on the body such as: left, right, bilateral. In addition, the 7th digit should be added to the ICD-10 code. synovectomy. [ sin″o-vek´tah-me] excision of a synovial membrane, as of that lining the capsule of the knee joint, sometimes done in patients with rheumatoid arthritis. radiation synovectomy synoviorthesis

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