Hand Tendon Repair

Hand tendon repair is a surgical procedure used to treat damaged or torn tendons in the hand. Tendons are tissues that connect muscles to bones, allowing for movement and flexibility.

Indications for Surgery

• Tendon lacerations or cuts
• Tendon ruptures or tears
• Tendonitis or inflammation of the tendon
• Contractures or deformities of the hand or fingers

Surgical Techniques

There are several surgical techniques used for hand tendon repair, including:

• Direct repair: The torn ends of the tendon are sewn together using sutures.
• Tendon grafting: A healthy piece of tendon is taken from another part of the body and used to replace the damaged tendon.
• Tendon transfer: A healthy tendon is moved from one location to another to restore function to the affected area.

Surgical Procedure

The surgical procedure typically involves:

• Administering local or general anesthesia to numb the hand and prevent pain during surgery.
• Making an incision in the skin to access the damaged tendon.
• Locating and identifying the torn or damaged tendon.
• Repairing the tendon using one of the techniques mentioned above.
• Closing the incision with sutures or staples.

Post-Operative Care

After surgery, patients typically require:

• Pain management with medication and ice packs.
• Immobilization of the hand in a splint or cast to protect the repair.
• Physical therapy to regain range of motion and strength in the hand and fingers.

Risks and Complications

Possible risks and complications of hand tendon repair include:

• Infection
• Nerve damage
• Bleeding or hematoma
• Scarring or adhesions
• Tendon rupture or re-rupture

Recovery Time

The recovery time for hand tendon repair varies depending on the extent of the injury and the individual's overall health. Generally, patients can expect:

• Several weeks to several months of immobilization and physical therapy.
• A gradual return to normal activities over a period of 3-6 months.