Our Summary

This research paper discusses how to achieve a successful outcome when repairing flexor tendons, which are the flexible bands of tissue that connect the muscles to the bones. This process requires a careful balance between healing the tendon and limiting the formation of scar tissue.

Recent studies have indicated that the number of core stitches crossing the repaired area and the specific way these stitches are arranged can play an important role in determining the strength of the repaired tendon.

The researchers are also looking into improving the biological environment of the tendon to speed up the healing process and strengthen the repair. They are exploring things like biological enhancements and the use of growth factors.

FAQs

  1. What factors contribute to the success of flexor tendon repair?
  2. How does the number and configuration of sutures affect the strength of tendon repair?
  3. What methods are researchers exploring to improve the speed and strength of tendon repair?

Doctor’s Tip

A helpful tip a doctor might tell a patient about tendon repair is to follow the prescribed rehabilitation program closely to ensure proper healing and strengthening of the repaired tendon. This may include specific exercises, wearing a splint or brace, and avoiding activities that could put strain on the tendon. It is important to communicate any changes or concerns with your healthcare provider to ensure the best possible outcome.

Suitable For

Patients who are typically recommended tendon repair include those with acute injuries resulting from trauma, lacerations, or sports-related injuries. These patients may experience difficulty in flexing or extending their fingers or have a decreased range of motion in the affected tendon. Additionally, patients with chronic conditions such as tendonitis or tendon degeneration may also benefit from tendon repair to improve function and reduce pain. It is important for patients to consult with a healthcare provider to determine the most appropriate treatment plan for their specific condition.

Timeline

Before tendon repair:

  1. Injury: The patient sustains an injury to the flexor tendon, commonly caused by lacerations, cuts, or trauma.
  2. Evaluation: The patient seeks medical attention and undergoes a thorough evaluation by a healthcare professional to determine the extent of the tendon damage.
  3. Pre-operative preparation: The patient may undergo imaging tests, such as X-rays or MRI, to assess the severity of the injury and plan for surgery.
  4. Surgical intervention: The patient undergoes a surgical procedure to repair the damaged tendon, which may involve suturing the torn ends of the tendon together.

After tendon repair:

  1. Post-operative care: The patient is closely monitored in the immediate post-operative period for any signs of complications, such as infection or poor wound healing.
  2. Rehabilitation: The patient undergoes a structured rehabilitation program, which includes exercises to improve range of motion, strength, and function of the repaired tendon.
  3. Follow-up appointments: The patient attends regular follow-up appointments with their healthcare provider to monitor the progress of the tendon repair and make any necessary adjustments to the rehabilitation plan.
  4. Return to normal activities: With successful healing and rehabilitation, the patient gradually returns to normal activities, including work, sports, and daily tasks.
  5. Long-term outcomes: The patient continues to follow up with their healthcare provider to assess the long-term outcomes of the tendon repair and address any issues that may arise.

What to Ask Your Doctor

  1. What is the expected recovery timeline after tendon repair surgery?
  2. Will physical therapy be necessary after surgery to regain full function of the tendon?
  3. Are there any specific precautions or restrictions I should follow during the healing process?
  4. What are the potential risks or complications associated with tendon repair surgery?
  5. How can I best support the healing process at home, such as proper nutrition or activity modifications?
  6. Are there any specific exercises or stretches I should avoid to prevent re-injury?
  7. What factors may affect the success of my tendon repair surgery?
  8. Are there any alternative treatments or therapies that may help improve the outcome of the tendon repair?
  9. Will I need to follow up with a hand therapist or specialist after the surgery?
  10. How can I best prevent future injuries to the repaired tendon?

Reference

Authors: Myer C, Fowler JR. Journal: Orthop Clin North Am. 2016 Jan;47(1):219-26. doi: 10.1016/j.ocl.2015.08.019. PMID: 26614935