[What are the indications for a synovectomy?]

In accordance with the rheumatological concept of "hit hard and early", the timing of synovectomy should also be selected to be as early as possible and should be adjusted to the onset of the effect of biologicals in order to prevent joint destruction. This means that after an early diagnosis of rheumatoid arthritis and start of drug therapy, a low disease activity has been achieved and a rebellious joint is evident, a very prompt synovectomy is indicated.