Medical Services of India,G-8/B sector 39, E Block, Sector 40, Noida, Uttar Pradesh 201301

  Recommended Surgeons

Tendon Repair Surgery

What are Tendons?

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.



What is Tendon Repair ?

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:

  • Tennis elbow
  • Golfer's elbow
  • Pitcher's shoulder
  • Swimmer's shoulder
  • Jumper's knee

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.

 

How is tendon repair done?

Generally, during tendon repair a surgeon will:

  • Make one or more small incisions (cuts) in the skin over the damaged tendon
  • Sew the torn ends of the tendon together
  • Check the surrounding tissue to make sure no other injuries have occurred, such as injury to the blood vessels or nerves
  • Close the incision
  • Cover the area with sterile bandages or dressings
  • Immobilize or splint the joint so as to allow the tendon to heal.

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 restoring function.
Anesthesia (pain medication) is used during tendon repair to prevent the patient from feeling pain during the surgery.
The types of anesthesia are:

  • Local anesthesia. The area where the surgery is to be performed is numbed and pain-free.
  • Regional anesthesia. The surrounding area and the area where the surgery is to be performed is numbed and pain-free.
  • General anesthesia. The patient is unconscious (asleep) and unable to feel pain.

Recovery and care after surgery

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 repair surgery outlook

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.

 

Complications

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.

Prevention

To reduce your chance of developing tendinitis, follow these suggestions:

  • Ease up Avoid activities that place excessive stress on your tendons, especially for prolonged periods. If you notice pain during a particular exercise, stop and rest.
  • Mix it up If one exercise or activity causes you a particular, persistent pain, try something else. Cross-training can help you mix up an impact-loading exercise, such as running, with lower impact exercise, such as biking or swimming.
  • Improve your technique If your technique in an activity or exercise is flawed, you could be setting yourself up for problems with your tendons. Consider taking lessons or getting professional instructions when starting a new sport or using exercise equipment.
  • Stretch Take time after exercise to stretch in order to maximize the range of motion of your joints. This can help to minimize repetitive trauma on tight tissues. The best time to stretch is after exercise, when your muscles are warmed up.
  • Use proper workplace ergonomics If possible, get an ergonomic assessment of your work space and adjust your chair, keyboard and desktop as recommended for your height, arm length and usual tasks. This will help protect all your joints and tendons from excessive stress.
  • Prepare your muscles to play Strengthening muscles used in your activity or sport can help them better withstand stress and load.