Our Summary

This research paper discusses the various methods used over the years to prevent adhesion formation, which is a problem that can occur during the healing process after a tendon injury. Adhesions are bands of scar tissue that can cause tendons to stick together, which can lead to pain and limit movement. The challenge is to prevent this from happening while still allowing the tendon to heal properly.

Unfortunately, all methods currently used have some disadvantages, and there isn’t a perfect solution yet that can prevent adhesions while also keeping the tendon strong during its repair.

However, recent advances in the fields of biomaterials science and tissue engineering have led to new technologies that could potentially solve this problem. These include specially designed barriers combined with certain cells and proteins, which have shown promising results in animal studies. These new technologies may be useful in human patients in the future.

FAQs

  1. What are some of the methods developed over the years to inhibit adhesion formation during tendon repair?
  2. What are the drawbacks of the current methods used to suppress healing around the tendon?
  3. What are some of the new antiadhesion technologies developed in biomaterials science and tissue engineering that have shown improved outcomes in animal models?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to follow a comprehensive rehabilitation program that includes physical therapy exercises to strengthen the tendon and surrounding muscles. This can help improve flexibility, range of motion, and overall function of the repaired tendon. Additionally, it is important to follow any post-operative instructions provided by the surgeon, such as avoiding certain activities or wearing a brace for support. Proper nutrition and hydration can also support the healing process, so it is important to eat a balanced diet and stay hydrated. Finally, it is important to listen to your body and not push yourself too hard, as overexertion can delay healing and increase the risk of re-injury.

Suitable For

Patients who are typically recommended tendon repair include those who have suffered from tendon injuries such as tendon ruptures, tendonitis, or tendon tears. These injuries can occur due to overuse, trauma, or degenerative conditions. Tendon repair may be recommended for individuals who are experiencing pain, weakness, limited range of motion, or difficulty performing daily activities due to their tendon injury. In some cases, tendon repair may be necessary to prevent further damage and restore function to the affected tendon.

Timeline

  • Before tendon repair:
  1. Patient experiences a tendon injury, which may be caused by trauma, overuse, or degenerative conditions.
  2. Patient may undergo imaging tests such as an MRI to diagnose the extent of the injury.
  3. Patient may undergo conservative treatment such as rest, physical therapy, or corticosteroid injections to manage symptoms.
  4. If conservative treatment is unsuccessful, patient may be recommended for tendon repair surgery.
  • After tendon repair:
  1. Patient undergoes tendon repair surgery, which may involve suturing the torn tendon back together or using a graft to repair the tendon.
  2. Patient undergoes a period of immobilization and physical therapy to promote healing and restore function.
  3. Patient may experience pain, swelling, and stiffness in the affected area during the initial recovery period.
  4. Patient gradually resumes normal activities and exercises to strengthen the repaired tendon.
  5. Patient follows up with healthcare provider for monitoring and assessment of the healing process.
  6. Patient may experience improvements in pain, range of motion, and function over time as the tendon heals and strengthens.

What to Ask Your Doctor

  1. What is the success rate of tendon repair surgery for my specific condition?
  2. What are the potential risks and complications associated with tendon repair surgery?
  3. What is the expected recovery time and rehabilitation process after tendon repair surgery?
  4. Are there any specific precautions or restrictions I should follow during the recovery period?
  5. What type of physical therapy or exercises will be recommended to help strengthen and rehabilitate the repaired tendon?
  6. Will I need any additional treatments or procedures to support the healing of the repaired tendon?
  7. How long will it take for me to regain full function and range of motion in the affected area?
  8. Are there any lifestyle changes or modifications that I should consider to prevent re-injury of the repaired tendon?
  9. What is the long-term outlook for the repaired tendon, and are there any potential complications or issues that may arise in the future?
  10. Are there any alternative or complementary therapies that may help support the healing process of the repaired tendon?

Reference

Authors: Kuroiwa T, Amadio PC. Journal: Hand Clin. 2023 May;39(2):171-180. doi: 10.1016/j.hcl.2022.08.018. Epub 2023 Feb 14. PMID: 37080649