Arthrotomy, elbow; with synovectomy
CPT4 code
Name of the Procedure:
Arthrotomy, elbow; with synovectomy
Common name(s): Elbow Arthrotomy with Synovectomy
Summary
An elbow arthrotomy with synovectomy is a surgical procedure that involves making an incision into the elbow joint to remove inflamed or diseased synovial tissue. The synovium is a membrane that lines the joint and can become inflamed in various conditions.
Purpose
This procedure aims to alleviate pain, reduce joint inflammation, and improve joint function in patients with chronic synovitis or other inflammatory joint diseases.
Indications
- Chronic elbow pain
- Synovial inflammation or overgrowth
- Rheumatoid arthritis
- Septic arthritis
- Persistent synovitis not responding to medical treatment
Preparation
- Fasting for at least 8 hours before the procedure
- Medication adjustments (e.g., stopping blood thinners)
- Preoperative diagnostic tests such as MRI, X-rays, or blood tests
Procedure Description
- The patient is placed under local, regional, or general anesthesia.
- An incision is made on the affected area of the elbow.
- The surgeon exposes the elbow joint to access the synovial membrane.
- The inflamed or diseased synovial tissue is carefully removed.
- The joint is thoroughly irrigated to ensure no remaining debris.
- The incision is closed with sutures or staples, and a sterile dressing is applied.
Duration
The procedure typically takes 1-2 hours.
Setting
The procedure is performed in a hospital or surgical center.
Personnel
- Orthopedic surgeon
- Anesthesiologist
- Surgical nurse
- Operating room technicians
Risks and Complications
- Infection
- Bleeding
- Nerve damage
- Stiffness or loss of motion in the elbow
- Blood clots
- Allergic reaction to anesthesia
Benefits
- Reduction in pain and inflammation
- Improved range of motion
- Better joint function
- Enhanced quality of life
Recovery
- Post-surgery pain management with prescribed medications
- Physical therapy to regain strength and flexibility
- Limited use of the elbow for several weeks
- Follow-up appointments to monitor healing
- Full recovery timeline varies but typically ranges from 6 to 12 weeks
Alternatives
- Non-surgical treatments such as physical therapy, medications (anti-inflammatory drugs, corticosteroids)
- Minimally invasive arthroscopic surgery
- Joint replacement in severe cases
Patient Experience
During the procedure, the patient will be under anesthesia and should not feel pain. Postoperatively, there may be some pain and swelling, which can be managed with medications. It is essential to follow the surgeon's instructions for rehabilitation and physical therapy to ensure optimal recovery.