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The procedure described by CPT® Code 27625 refers to an arthrotomy with synovectomy of the ankle. This surgical intervention is performed to address conditions affecting the synovial tissue, which lines the ankle joint and is responsible for producing synovial fluid. In cases where the synovium becomes inflamed—often due to conditions such as rheumatoid arthritis or synovial proliferative disorders—it can lead to an overproduction of synovial fluid, resulting in joint effusion. The surgical approach to the ankle joint is determined by the location of the inflamed synovial tissue. During the procedure, a careful incision is made through the skin and soft tissues, ensuring the protection of surrounding nerves and blood vessels. Once the ankle joint capsule is accessed, the surgeon inspects the joint for any signs of injury, disease, or infection. A motorized shaver is then utilized to excise the inflamed synovial tissue, with meticulous attention to preserving the integrity of the underlying vascular and nervous structures. Following the removal of the synovium, the joint is irrigated with saline to clear any residual debris. The procedure concludes with the closure of the joint capsule, followed by a layered closure of the overlying soft tissues and skin, ensuring proper healing and recovery.
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