Munson Health
 
Tenolysis

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by Keel JC

(Tendolysis)

 

What to Expect

Prior to Procedure

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:
  • Anti-inflammatory medications such as ibuprofen and naproxen
  • Blood thinners
  • Anti-platelet medications
Do not eat or drink anything after midnight the day before your surgery, unless told otherwise by your doctor.

Anesthesia

Anesthesia will keep you pain-free and comfortable during the procedure. Anesthesia methods include:

Description of the Procedure

A tourniquet will be tied near the area where the surgery will occur. This will prevent blood flow to that area. An incision will be made in the skin to expose the tendon and surrounding tissue. The tissue will be cut to release the tendon. During surgery, your ability to move the affected body part will be checked. Based on the movement, 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.

How Long Will It Take?

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.

How Much Will It Hurt?

Anesthesia will block pain during the procedure. You will have pain after the procedure. Ask your doctor about medication to help manage pain.

Average Hospital Stay

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.

Post-procedure Care

At the Hospital
Right after the procedure, you will be taken to recovery and monitored closely. The staff may give you:
  • Pain medication
  • Antibiotics to prevent infection
  • Medication to prevent blood clots
During your stay, the hospital staff will take steps to reduce your chance of infection such as:
  • Washing their hands
  • Wearing gloves or masks
  • Keeping your incisions covered
There are also steps you can take to reduce your chances of infection such as:
  • Washing your hands often and reminding visitors and healthcare providers to do the same
  • Reminding your healthcare providers to wear gloves or masks
  • Not allowing others to touch your incisions
At Home
When you return home, do the following to help ensure a smooth recovery:
  • Your stitches will be removed about 2 weeks after surgery. You will be able to return to light activities once your stitches are removed. Avoid strenuous activities for at least four weeks.
  • Do not lift anything heavy until your doctor says it is okay to do so.
 

RESOURCES

American Academy of Orthopaedic Surgeons
http://orthoinfo.org

American Society for Surgery of the Hand
http://assh.org

 

CANADIAN RESOURCES

The Canadian Orthopaedic Association
http://coa-aco.org

Canadian Orthopaedic Foundation
http://canorth.org

 

References


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%5Fsurgery/overview%5Fof%5Fhand%5Fsurgery%5F85,P01130/. Accessed February 26, 2014.


Replantation. American Academy of Orthopaedic Surgeons Ortho Info website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00314. Updated December 2013. Accessed February 26, 2014.


6/6/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: 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.

 

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