A tenosynovectomy is surgery to treat tendon problems such as ‘trigger finger’ or tenosynovitis of the wrist. These conditions can restrict the free movement of a tendon within its sheath causing, in the case of trigger finger, a joint to get stuck in a bent position. A tenosynovectomy may be recommended to treat the condition in order to prevent the tendon rupturing and to avoid more complex reconstructive surgery.
A tenosynovectomy is usually carried out under a local anaesthetic (so you’ll stay awake but you won’t feel anything). It takes around half an hour and you should be able to go home on the same day.
The procedure involves removing any abnormal, inflamed or thickened tissue from around the tendon and its sheath to allow the tendon to move smoothly again.
Immediately after surgery we’ll help you manage any pain or discomfort with painkillers. We’ll discuss your aftercare and arrange any follow-up appointments with you before you leave hospital.
You’ll be given detailed instructions to explain what types of movement should be undertaken to ensure quick and effective recovery after a tenosynovectomy. You may need to take some time off work.
As with any surgical procedure there can be some risks, including:
- blood clots (including deep vein thrombosis (DVT)
Specific risks of surgery in the region of the toe include:
- nerve damage, numbness
- the condition may return
- complex regional pain syndrome (CRPS) sometimes occurs