Tendon Repair

Tendon repair is a surgical procedure used to treat torn or damaged tendons, which are tissues that connect muscles to bones. The goal of the procedure is to restore the normal function and movement of the affected joint or limb.

Types of Tendon Repairs

• Primary Repair: This type of repair involves directly sewing the torn tendon ends together using sutures.
• Tendon Grafting: In this procedure, a healthy tendon is taken from another part of the body and used to replace the damaged tendon.
• Tendon Transfer: This involves moving a healthy tendon from one location to another to restore function to the affected area.

Indications for Tendon Repair

Tendon repair is typically indicated for:

• Acute tendon injuries, such as those caused by trauma or sports injuries
• Chronic tendon conditions, such as tendinosis or tendonitis
• Ruptured tendons, which can cause significant pain and disability

Surgical Techniques

Tendon repair surgery can be performed using:

• Open Surgery: A traditional open incision is made to access the damaged tendon.
• Arthroscopy: A minimally invasive procedure that uses a small camera and instruments to visualize and repair the tendon through small incisions.
• Percutaneous Repair: A minimally invasive technique that involves making small punctures in the skin to insert instruments and repair the tendon.

Post-Operative Care and Rehabilitation

After tendon repair surgery, patients typically require:

• Immobilization: The affected area is immobilized in a cast or splint to protect the repair and promote healing.
• Pain Management: Pain medication and other treatments are used to manage pain and discomfort.
• Physical Therapy: A rehabilitation program is designed to restore strength, flexibility, and range of motion to the affected area.

Risks and Complications

As with any surgical procedure, tendon repair carries risks and potential complications, including:

• Infection
• Nerve damage
• Bleeding or hematoma
• Adhesions or scarring
• Re-rupture of the tendon

Outcomes and Prognosis

The outcome of tendon repair surgery depends on various factors, including the severity of the injury, the type of repair used, and the patient's overall health. With proper rehabilitation and care, most patients can expect to achieve significant improvement in function and reduction in pain.