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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.
As soon as possible after surgery, a physical therapist will teach you how and when to move the joint. Recovery depends on the surgical technique used and the location of the incisions.
Following knee synovectomy, your knee will be immobilized in a removable cast. And physical therapy is started after 1 to 2 days.
Synovectomy may be used to treat joints affected by rheumatoid arthritis that have minimal bone or cartilage destruction when medicine has not relieved pain.
Synovectomy may be considered if significant pain persists after 6 to 12 months of drug treatment, including the use of disease-modifying antirheumatic drugs (DMARDs).
Synovectomy does not cure the disease. But it may relieve symptoms temporarily.footnote 1
Risks of synovectomy include the risks of surgery and using anesthesia and a slight risk of infection and bleeding within the joint.
There may also be a loss in the range of motion of the joint, or the inflammation in the joint may return.
Synovectomy is a useful treatment option for early rheumatoid arthritis that has not improved with medicine, including DMARDs or corticosteroid injections. It may provide only temporary relief.
Ekwall AKH, Firestein GS (2014). Rheumatoid arthritis: Treatment. In EG Nabel et al., eds., Scientific American Medicine, chap. 1032. Hamilton, ON: BC Decker. https://www.deckerip.com/decker/scientific-american-medicine/chapter/1032/pdf. Accessed December 15, 2016.
ByHealthwise Staff Primary Medical Reviewer Anne C. Poinier, MD - Internal Medicine Martin J. Gabica, MD - Family Medicine Kathleen Romito, MD - Family Medicine Nancy Ann Shadick, MD, MPH - Rheumatology
Current as ofOctober 10, 2017
Current as of:
October 10, 2017
Anne C. Poinier, MD - Internal Medicine & Martin J. Gabica, MD - Family Medicine & Kathleen Romito, MD - Family Medicine & Nancy Ann Shadick, MD, MPH - Rheumatology
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Children's Hospital's main campus is located in the Lawrenceville neighborhood. Our main hospital address is:
UPMC Children’s Hospital of Pittsburgh
One Children’s Hospital Way
4401 Penn Ave.
Pittsburgh, PA 15224
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