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Old 01-28-2012, 09:01 AM   #1
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Arthroscopic Knee Synovectomy

Hi:

After two prior surgeries (both arthroscopically) to relieve knee pain (July, 2011 for meniscus and lateral release; August, 2011 for washout) I continue to suffer from inflammation of the left knee (diagnosed as hypertrophic synovium). It looks like I'm now staring in the face a third procedure; this time around a total removal of the synovium (synovectomy)--again, arthroscopically--has been suggested as a way to finally resolve the issue. The good news is that Has anyone had a similar procedure; and if so, what am I facing by way of recovery time?

Last edited by OldeProfessor; 01-28-2012 at 09:03 AM. Reason: misspelling

 
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Old 01-28-2012, 09:15 AM   #2
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Re: Arthroscopic Knee Synovectomy

Hi, professor!

My PARTIAL synovectomy had a very short recovery time. I was on crutches for just one day, and after a week, I was better than before.

Expect something similar to the washout, and not a longer recovery like the lateral release.

Do they know why you have chronic synovial inflammation? Could you possibly have rheumatoid arthritis or another autoimmune condition?

 
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Old 01-28-2012, 10:50 AM   #3
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Re: Arthroscopic Knee Synovectomy

Hi:

Thanks very much for the rapid reply to my query.

I see that you were fortunate enough to undergo a partical synovectomy. Interestingly, it turns out that the lateral side of the knee (location of the LR) is consistently the most inflamed; within the past 3 weeks or so 2 separate aspirations withdrew a total of 60 CCs of fluid. My hope is, therefore, that I might be able to plead for a partial. As for the source of the inflammation, all sorts of blood work results have ruled out an infection, lyme, lupus, and so forth. Although I do not have a definitive explanation from the specialist, I recall hearing something to the effect that the synovium is "corrupt," and therefore in need of replacement.

Any additional suggestions will be welcomed.

 
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Old 01-28-2012, 12:12 PM   #4
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Re: Arthroscopic Knee Synovectomy

Removing the synovium is not a difficult procedure. The problem with a TOTAL synovectomy is that afterwards you don't have the proper lubrication (synovial fluid) around your knee, which can contribute to arthritis.

The partial synovectomy and plica removal helped a lot, I would say my knee is 80% better, and it was bad for a long time.

 
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Old 01-28-2012, 12:51 PM   #5
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Re: Arthroscopic Knee Synovectomy

Another excellent insight. Funny you should mention "plica removal," since I mentioned this yesterday to the examining physician (if need be, he will refer me to a surgeon in the practice). He replied that it would be unusual for this to appear in an adult, as in his experience this usually appears in much younger folks.
Anyway, after the aspriations and a cortisone shot things have calmed down. But he added that he gives all this only a 30% chance of working, and that as a result I will most likely have to undergo the synovectomy. I go back in 6 weeks--if not earlier--for what I guess will be an up or down decision.
If a synovectomy is the answer for a final resolution, then I'll have to grin and bear it. But after the hassles of two prior procedures (leg immobilizer, draining catheter, PT) and around 5 weeks until I could get around more or less normally, I'm searching for the least disruptive procedure.
Thanks so much, once again, for your insights.

 
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Old 01-28-2012, 01:01 PM   #6
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Re: Arthroscopic Knee Synovectomy

My plica started causing trouble at 16, finally had the surgery at 30. (Wish I'd done it a lot earlier!)

 
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Old 12-26-2012, 08:54 AM   #7
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Re: Arthroscopic Knee Synovectomy

Quote:
Originally Posted by OldeProfessor View Post
Hi:

After two prior surgeries (both arthroscopically) to relieve knee pain (July, 2011 for meniscus and lateral release; August, 2011 for washout) I continue to suffer from inflammation of the left knee (diagnosed as hypertrophic synovium). It looks like I'm now staring in the face a third procedure; this time around a total removal of the synovium (synovectomy)--again, arthroscopically--has been suggested as a way to finally resolve the issue. The good news is that Has anyone had a similar procedure; and if so, what am I facing by way of recovery time?
Hello,
I have had a partial synovectomy which was the result of a partially torn ACL that had healed improperly and created thick scar tissue which trapped a portion of my synovium in my bones. For me, it was an outpatient procedure so I was in and out the same day. Had stitches in for 2 weeks, then I started PT two days after going for my 2 week follow-up. I ended up doing PT for 11 weeks, but I never had a brace or crutches. I don't know how they would handle a total synovectomy, but this was my experience, hope it gives you a better insight on what to expect!

 
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