Peroneal Tenosynovectomy

Tenosynovectomy is indicated in various situations, including:

• Chronic Tenosynovitis: Persistent inflammation of peroneal tendons that doesn't respond to conservative treatments, such as rest, physical therapy, or anti-inflammatory medications.
• Pain and Swelling: Persistent symptoms that affect ankle function and patient's quality of life.
• Scar Tissue: Formation of scar tissue around tendons, which can limit movement and cause pain.

Symptoms that may lead to the decision to perform tenosynovectomy include:

• Ankle Pain: Intense and persistent pain in the lateral ankle region, especially when walking or performing physical activities.
• Swelling: Visible swelling in the peroneal tendons area.
• Movement Difficulty: Limited ankle range of motion and feeling of stiffness.

The procedure generally involves the following steps:

1. Anesthesia: Patient undergoes local-regional or general anesthesia, depending on procedure complexity and patient health.
2. Incision: An incision is made along the external side of the ankle to access the peroneal tendons. This procedure can also be done using mini-incisions with arthroscopic assistance.
3. Tendon Exposure: The surgeon exposes the peroneal tendons and inflamed synovial membrane.
4. Inflamed Tissue Removal: Inflamed or scar tissue is removed to relieve pressure on tendons and allow proper movement.

Recovery after tenosynovectomy may include:

• Rest and Immobilization: Rest the foot and, in some cases, use an immobilization boot or cast to protect the area during healing.
• Pain Control: Use of painkillers to manage post-operative pain.
• Physical Therapy: Physical therapist may recommend exercises to restore strength, flexibility, and ankle function, typically starting a few weeks after surgery.
• Medical Follow-up: Regular consultations to monitor recovery and tendon healing.