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Arthrotomy with synovectomy of the hip joint, designated by CPT® Code 27054, is a surgical procedure aimed at addressing conditions affecting the synovial tissue within the hip joint. The term 'synovectomy' refers to the surgical removal of the synovial membrane, which is the lining of the joint that produces synovial fluid, essential for lubricating and nourishing the joint. In cases where this tissue becomes inflamed due to various conditions such as arthritis or other joint diseases, a synovectomy may be indicated to alleviate pain and restore function. The procedure begins with a skin incision made over the lateral aspect of the hip joint, allowing access to the underlying soft tissues. Surgeons carefully dissect through these tissues to reach the joint capsule, which is then opened to provide a clear view of the hip joint's interior. During the operation, the surgeon examines the joint for any signs of injury or disease, ensuring a comprehensive assessment. The inflamed synovial tissue is excised using a specialized instrument known as a synovial resector, which facilitates the precise removal of the affected tissue. After the synovectomy is completed, the joint is thoroughly flushed with sterile saline to cleanse the area and promote healing. Finally, the incisions are meticulously closed to ensure proper recovery and minimize the risk of infection.
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