When Is Revision Surgery Considered?
- Persistent or recurrent carpal tunnel symptoms after release
- Recurrent trigger finger after prior release
- Persistent thumb arthritis pain after prior LRTI
- Stiffness or tendon adhesions after fracture repair or tendon surgery
- Nerve injury or neuroma formation after surgery
- Hardware problems after fracture fixation
- Recurrent Dupuytren's contracture
- Wrist instability or malunion after fracture treatment
Dr. Richards' Approach
Revision surgery requires understanding what was done previously and why the result fell short. Dr. Richards conducts a careful review of prior operative records, imaging, and clinical findings before recommending any intervention. Not every case requires additional surgery — in some cases, directed therapy, injections, or time are the appropriate next step. When surgery is warranted, Dr. Richards discusses realistic expectations clearly.
Common Revision Procedures
- Carpal tunnel revision — neurolysis, treatment of nerve scarring, or re-release
- Tenolysis — surgical release of tendon adhesions to restore gliding
- Hardware removal — when implants are symptomatic after fracture healing
- Corrective osteotomy — realigning bones that healed incorrectly
- Nerve reconstruction — addressing neuromas or injured nerves from prior surgery