Tendons are tough cords of tissue that connect muscles to bones. When you contract (tighten) a group of muscles, the attached tendons will pull on certain bones, allowing you to make a wide range of physical movements.
The surgical procedure where the damaged tendons are repaired. The
tendons are basically a cord like structures that are strong fibrous
connective tissue which connects the muscles to bones. The most affected
areas by tendon injuries are knee, ankle joints and elbow. The purpose is
to restore or repair the normal function the regular function of the joints
by following a tendon laceration.
While tendinitis can occur in any of your body's tendons, it's most common around your shoulders, elbows, wrists, knees and heels.
Some common names for various tendinitis problems are:
If tendinitis is severe and leads to the rupture of a tendon, you may need surgical repair. But most cases of tendinitis can be successfully treated with rest, physical therapy and medications to reduce pain.
Generally, during tendon repair a surgeon will:
If there isn’t enough healthy tendon to reconnect, the surgeon may
perform a tendon graft using a piece of tendon from another part of the
body. It may be from the foot or toe, for example. On occasion, a tendon
transfer (moving a tendon from one area to another) may be useful in
Anesthesia (pain medication) is used during tendon repair to prevent the patient from feeling pain during the surgery.
The types of anesthesia are:
Tendon repairs are usually done on an outpatient basis. This means the
patient can go home after the surgery. If the patient does stay in the
hospital, it’s usually for a short period of time.
Healing can take up to 12 weeks. The injured tendon may need to be supported with a splint or cast to take tension off of the repaired tendon.
Physical therapy or occupational therapy is usually necessary to return movement in a safe manner. Expect movement to return gradually, with some stiffness. You may need treatment after the surgery to minimize scar tissue. Too much scar tissue can make it difficult to move the damaged tendon.
Tendon repairs can be very successful if they’re done along with proper
physical therapy or occupational therapy. As a general rule, the sooner
tendon repair surgery is done after the injury, the easier the surgery is and
the easier the recovery.
In some cases, long-term complications may develop. Stiffness may be long-lasting. Some tendon injuries, such as injuries to the flexor tendon in the arm, can be very difficult to repair.
Before surgery, discuss potential outcomes with your doctor so that you have a realistic view of your individual outlook.
Without proper treatment, tendinitis can increase your risk of
experiencing tendon rupture — a much more serious condition that may
require surgical repair.
If tendon irritation persists for several weeks or months, a condition known as tendinosis may develop. This condition involves degenerative changes in the tendon itself, along with abnormal new blood vessel growth.
To reduce your chance of developing tendinitis, follow these suggestions: