EXTENSOR TENDON REPAIR

If you need an extensor tendon repair, please Schedule an appointment with one of our orthopedic specialists as soon as possible.

What Is An Extensor Tendon Repair?

Surgeons perform extensor tendon repair to mend a damaged or severed extensor tendon in the hand or fingers.

This differs from a Tendon Transfer as it does not move a tendon or muscle from another area of the body to repair the damaged area. The extensor tendons straighten (extend) the fingers and thumb. This enables us to open the hand and engage in various activities. Trauma, lacerations, or overuse injuries can cause these tendons to injure.

Indications:

Extensor tendon repair becomes necessary when an extensor tendon suffers partial or complete tearing or cutting, leading to the affected finger or thumb’s inability to fully extend. This condition significantly impairs hand function, affecting activities that require grasping or manipulating objects. Patients experiencing these limitations are considered for the procedure to restore normal finger or thumb extension.

During the repair procedure, surgeons carefully assess the extent of the tendon injury and use surgical techniques to reconnect or reinforce the damaged tendon. The goal is to regain full extension capability and enhance overall hand functionality. Post-surgery, patients undergo a structured rehabilitation program aimed at restoring strength, flexibility, and range of motion in the affected finger or thumb. Adherence to rehabilitation guidelines and regular follow-up appointments are crucial for monitoring progress and ensuring optimal recovery outcomes. Early intervention and comprehensive rehabilitation efforts contribute to successful extensor tendon repair, allowing patients to regain functional use of their hand.

Procedure:

Surgeons typically perform extensor tendon repair under local or regional anesthesia, sometimes supplemented with sedation depending on the patient’s condition and preferences. They begin by making an incision over the injured tendon to expose the damaged area. Carefully identifying the ends of the torn or cut tendon, they employ sutures or surgical techniques to reconnect and restore its continuity. In cases involving larger or more complex injuries, surgeons may use additional tissue grafts to reinforce the repair.

After completing the repair, surgeons close the wound with stitches and apply a splint or protective dressing. This helps maintain the repaired tendon in a protected position during the initial healing phase. Postoperative care includes monitoring for signs of healing and starting a rehabilitation program to gradually restore finger or thumb function. Regular follow-up visits ensure the tendon heals properly and assess progress toward regaining full hand functionality. By following these steps, surgeons maximize the chances of successful tendon repair and recovery for their patients.

Recovery and Rehabilitation:

The success of tendon repair hinges on the postoperative recovery period. Proper healing requires immobilizing the repaired tendon for several weeks. During recovery, patients actively participate in physical therapy and hand rehabilitation. A therapist guides them through exercises to gradually improve the range of motion and strength of the repaired tendon. Full recovery and return to normal activities may span several months. The outcome is ultimately influenced by the severity of the injury and the patient’s commitment to rehabilitation.

Consistent adherence to the prescribed rehabilitation program is crucial for achieving the best possible results. Patients must attend all therapy sessions, perform exercises as instructed, and follow any additional guidelines provided by their healthcare team. Monitoring progress through regular follow-up appointments ensures that the tendon is healing correctly and adjustments to the rehabilitation plan are made as needed. This comprehensive approach significantly enhances the likelihood of a successful recovery and restoration of full function.

Outcomes

Various factors, such as the severity of the injury, the timeliness of surgery, and the patient’s compliance with postoperative care and rehabilitation, determine the success of extensor tendon repair. With an appropriate surgical technique and diligent rehabilitation, many patients can achieve satisfactory functional outcomes and regain full extension of the affected finger or thumb.

Individuals with suspected extensor tendon injuries must promptly seek medical attention. Immediate diagnosis and timely surgical intervention, if necessary, enhance the likelihood of successful extensor tendon repair and facilitate the restoration of hand function. During recovery, patients must adhere to their prescribed rehabilitation program, which includes physical therapy exercises to improve strength and flexibility. Regular follow-up appointments allow healthcare providers to monitor progress and make any necessary adjustments to the treatment plan. Commitment to these postoperative care measures significantly increases the chances of a full recovery, allowing patients to return to their daily activities with improved hand functionality.

If you would like to speak to an Orthopedic  Specialist, give us a call at 817-697-4038, or contact us over the web. Tele-medicine appointments are also available.