Surgical repair of tendon injuries in the wrist and hand is a procedure performed to restore the integrity and function of damaged tendons. Tendons are fibrous tissues that connect muscles to bones, enabling movement of the joints. Tendon injuries can occur due to trauma, overuse, or underlying medical conditions.
Here is an overview of the surgical repair process for tendon injuries in the wrist and hand:
1. Evaluation and Diagnosis:
Before proceeding with surgery, a thorough evaluation is conducted to assess the extent of the tendon injury and determine the most appropriate surgical approach. This may involve a physical examination, imaging tests (such as X-rays or MRI), and a discussion of symptoms and functional limitations.
2. Anesthesia:
Tendon repair surgeries are typically performed under local or regional anesthesia, which numbs the surgical area, or in some cases, general anesthesia, which puts the patient to sleep.
3. Incision and Exposure:
The surgeon makes a carefully planned incision over the affected tendon, providing access to the injured area. The size and location of the incision depend on the specific tendon involved and the nature of the injury.
4. Tendon Repair:
The damaged tendon is then repaired using various techniques, depending on the severity and type of injury. Common methods include:
- Primary Repair: This involves directly suturing the torn ends of the tendon together using strong sutures. The surgeon may use specialized techniques, such as locking or grasping sutures, to ensure secure and stable tendon repair.
- Tendon Grafting: In cases where the tendon ends cannot be directly sutured due to a large gap or poor tissue quality, a tendon graft may be used. A graft is taken from another part of the body (such as the forearm or foot) or a synthetic graft may be used to bridge the gap and restore tendon continuity.
- Tendon Transfer: In some situations, if the damaged tendon cannot be repaired, a nearby healthy tendon may be redirected or transferred to take over the function of the injured tendon.
5. Closure and Immobilization:
Once the tendon repair is complete, the incision is closed with sutures, and the hand and wrist may be immobilized using a splint or cast to protect the repaired tendon during the initial healing phase.
6. Rehabilitation and Recovery:
After surgery, a period of immobilization is usually followed by a tailored rehabilitation program. This typically involves working with a hand therapist who guides the patient through exercises and activities designed to gradually restore tendon strength, flexibility, and function. The duration and intensity of rehabilitation depend on the specific injury and the individual’s progress.
It’s important to note that the recovery process can vary widely depending on the severity of the tendon injury and the specific surgical technique used. Postoperative care instructions, including wound care, pain management, and activity restrictions, will be provided by the surgeon.
It’s recommended to consult with a hand specialist or orthopedic surgeon experienced in tendon repair to evaluate your specific condition, discuss the surgical options available, and develop a comprehensive treatment plan tailored to your needs. At Alabama Bone and Joint Clinic our specialists are able to guide you through your treatment options. Call today to schedule an appointment with one of our experts in orthopedic care.
