Our Summary

This research paper looks at ways to prevent a condition that can occur after surgery to repair tendons in the hand, known as flexor tendon adhesion. This is when the tendon sticks to nearby tissues, causing pain and limiting movement. The researchers have tried various methods to prevent this, but none have been proven to work effectively in real-life medical settings.

In this study, the researchers used a material called acellular dermal matrix (ADM) to try and prevent these adhesions. This material is made from skin that has had all its cells removed, leaving just the ‘skeleton’ of the skin behind.

The study took place from 2017 to 2020, and included patients who had experienced an injury to a single flexor tendon in specific zones of the hand. The patients were divided into two groups - one group where the ADM was used, and a control group where it wasn’t. The researchers then measured various outcomes, such as any complications, the range of movement in the hand, and the patients’ satisfaction with the surgery.

The results showed that the group where the ADM was used had better functional outcomes (i.e., they could use their hand better), and were more satisfied with the surgery. There was no difference in complications between the two groups.

In conclusion, the study suggests that using ADM in tendon repair surgery can help to prevent adhesions, improving the patient’s ability to use their hand afterwards, and increasing their satisfaction with the surgery.

FAQs

  1. What is flexor tendon adhesion and why is it a problem after hand surgery?
  2. What is acellular dermal matrix (ADM) and how was it used in this study to prevent tendon adhesion?
  3. What were the results of the study and how did they suggest that ADM could be beneficial in tendon repair surgery?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to follow the post-operative rehabilitation plan closely. This typically includes exercises to improve flexibility and strength in the repaired tendon, as well as guidance on gradually increasing activity levels. Following this plan can help prevent adhesions and promote optimal healing of the tendon. It is important to communicate with your healthcare provider throughout the recovery process to ensure proper healing and function of the repaired tendon.

Suitable For

Overall, patients who are recommended tendon repair are those who have experienced an injury to a tendon in the hand, such as a flexor tendon injury. These patients may have difficulty moving their hand or fingers, experience pain, or have limited function in the affected area. Tendon repair surgery is typically recommended to restore function, reduce pain, and improve overall quality of life for these patients.

In particular, patients who may benefit from tendon repair surgery include those with conditions such as tendon ruptures, tendonitis, or tendon adhesions. These patients may have difficulty performing everyday tasks, such as gripping objects, typing, or writing, due to the limited range of motion and pain associated with their condition.

It is important for patients who are considering tendon repair surgery to discuss their options with a healthcare provider, who can assess their individual needs and recommend the most appropriate course of treatment. In some cases, alternative treatments such as physical therapy or medication may be recommended before surgery is considered.

Overall, tendon repair surgery can be a highly effective treatment option for patients with tendon injuries, helping to restore function, reduce pain, and improve quality of life.

Timeline

Before tendon repair:

  1. Patient experiences an injury to a single flexor tendon in the hand.
  2. Consultation with a healthcare provider to determine the extent of the injury and the need for surgery.
  3. Surgery is scheduled and the patient undergoes tendon repair surgery.

After tendon repair:

  1. Patient undergoes post-operative care, including pain management and wound care.
  2. Physical therapy and rehabilitation to regain strength and range of motion in the hand.
  3. Monitoring for any complications, such as infection or adhesions.
  4. Follow-up appointments with the healthcare provider to track progress and address any concerns.
  5. Over time, the patient should experience improved function in the hand and decreased pain, leading to a better quality of life.

What to Ask Your Doctor

Some questions a patient should ask their doctor about tendon repair surgery include:

  1. What is the purpose of using acellular dermal matrix (ADM) in my tendon repair surgery?
  2. How will the use of ADM affect my recovery process and overall outcome?
  3. Are there any potential risks or complications associated with using ADM in tendon repair surgery?
  4. How will the use of ADM impact my range of motion and function in my hand post-surgery?
  5. How many patients have you treated using ADM in tendon repair surgery, and what have been the results?
  6. What alternative methods are available for preventing adhesions after tendon repair surgery, and why do you recommend using ADM in my case?
  7. What is the expected timeline for my recovery and rehabilitation after tendon repair surgery with the use of ADM?
  8. How will the use of ADM affect the overall cost of my surgery and treatment?
  9. Are there any specific precautions or instructions I should follow during my recovery period if ADM is used in my tendon repair surgery?
  10. Can you provide me with any additional information or resources about ADM and its use in tendon repair surgery?

Reference

Authors: Lee YJ, Ryoo HJ, Shim HS. Journal: Medicine (Baltimore). 2022 Jan 21;101(3):e28630. doi: 10.1097/MD.0000000000028630. PMID: 35060544