Surgical release of Trigger Finger – purpose and essence of the method
The goal of the procedure is to cut (release) the constricted A1 band (a ring-shaped tendon structure) at the base of the finger. This band acts like a ring that constricts and locks the thickened tendon. After it is cut, the tunnel becomes wider, and the flexor tendon regains the ability to glide freely and smoothly, which immediately eliminates the problem of the finger “jumping” and locking.
Who is this surgical procedure intended for?
The procedure is intended for people who:
- The finger gets stuck in a bent position and requires the use of the other hand to straighten it.
- Severe pain is felt and a “snapping” sound is heard at the base of the finger.
- Conservative treatment (e.g., steroid injections) has had only a short-term effect or is ineffective.
- A lump or painful thickening has been found at the base of the finger on the hand.
- The symptoms significantly impede daily activities (e.g., grasping, writing, driving).
Advantages of surgical treatment
Instant effect
Usually, immediate resolution of finger locking and snapping.
Short treatment time
The procedure takes just 10–15 minutes, reducing the time you spend at the clinic.
Permanent cure
The procedure is considered a definitive solution to the problem.
Minimal invasiveness
Performed under local anesthesia as day surgery.
Quick recovery
Fingers can be (and should be) mobilized almost immediately after the procedure.
Procedure Steps (Classic/Open Method)
Before the procedure:
- Consultation with a hand surgeon and confirmation of the diagnosis.
- Performing basic laboratory tests (including blood count, coagulation profile).
- On the day of the procedure, please inform us about any medications you are taking regularly.
- Marking of the surgical field and discussion of the procedure.
During the procedure:
- Administration local anesthesia at the base of the finger.
- Application tourniquet (on the arm or wrist).
- Application a very small incision (approx. 1–2 cm) across the palm, just at the base of the affected finger.
- Identification and precise incision of the A1 pulley (annular tendon structure).
- Verification of free tendon glide by moving the finger.
- The wound is usually closed with 1-2 sutures, and a small, sterile dressing is applied.
After the procedure:
- Brief rest at the clinic.
- Return home on the same day.
- Recommendation immediate, gentle finger movement, to maintain tendon glide.
- Avoiding strain hand and soaking the wound until the stitches are removed.
- Follow-up visit after 10–14 days for suture removal.
Important information
Duration of treatment
10–15 minutes
Required tests
Complete Blood Count, Coagulation System
Anesthesia
local
Stay at the clinic
Up to 2 hours (day surgery)
Recovery
Resume light activities after 2-3 days; full hand activity after approximately 3-4 weeks.
Suture removal
Removal after 10–14 days
Dressing changes
Change every 2–3 days, avoid getting wet
Contraindications
Active infections, uncontrolled diabetes (may affect healing), lack of consent.
Price list
Type of treatment
Price from
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Operacja palca zatrzaskującego
PLN 4,000
