Tenolysis is surgery to release a tendon affected by adhesions. A tendon is a type of tissue that connects muscle to bone. An adhesion happens when scar tissue forms and binds tendons to surrounding tissue. This can make it difficult for the affected body part to work correctly. For example, adhesion in the fingers can cause the tendons to become stuck. This prevents the fingers from being able to move properly.
This surgery is often done on hands and wrists.
Tendons in Finger
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You may have tendon adhesions if you had an injury to the area or if you had surgery that affected the tendon. Tenolysis is done when other therapies, like physical therapy, are unsuccessful.
In addition to tenolysis, the doctor may need to do other procedures. The goal is to have full movement of the affected body part.
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
Factors that may increase the risk of complications include:
Your doctor may do the following:
Talk to your doctor about any medications, herbs, or supplements you are taking. You may be asked to stop taking some medications up to one week before the procedure, like:
Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.
Anesthesia will keep you pain-free and comfortable during the procedure. Anesthesia methods include:
A tourniquet will be tied near the area where the surgery will occur. This will prevent blood flow to that area. The doctor will make an incision in the skin to expose the tendon and surrounding tissue. The tissue will be cut to release the tendon. During surgery, the doctor will check your ability to move the affected body part. Based on your abilities, the doctor can assess if the procedure is working or if additional procedures need to be done. This may include reconstructing the tendon. The incision will be closed with stitches.
This depends on which tendon is affected and how bad the adhesions are. For example, if you injured the flexor tendon in your finger, it can take 45-60 minutes to repair.
Anesthesia will block pain during the procedure. You will have pain after the procedure. Ask your doctor about medication to help manage pain.
This procedure is done in a hospital setting. The usual length of stay is 1-2 days. If you have any problems, you will need to stay longer.
Right after the procedure, you will be taken to recovery and monitored closely. The staff may give you:
When you return home, do the following to help ensure a smooth recovery:
Call your doctor if any of the following occurs:
If you think you have an emergency, call for medical help right away.
American Academy of Orthopaedic Surgeons
American Society for Surgery of the Hand
The Canadian Orthopaedic Association
Canadian Orthopaedic Foundation
Feldscher SB, Schneider LH. Flexor tenolysis. Hand Surg . 2002;7(1):61-74.
Overview of hand surgery. Johns Hopkins Medicine website. Available at: http://www.hopkinsmedicine.org/healthlibrary/conditions/adult/plastic_surgery/overview_of_hand_surgery_85,P01130/ . Accessed May 6, 2013.
Replantation. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00314 . Updated May 2001. Accessed May 6, 2013.
6/6/2011 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Mills E, Eyawo O, Lockhart I, Kelly S, Wu P, Ebbert JO. Smoking cessation reduces postoperative complications: a systematic review and meta-analysis. Am J Med . 2011;124(2):144-154.e8.
Last reviewed March 2013 by John C. Keel, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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