Our Summary

This research paper discusses the process of rehabilitation after the repair of a flexor tendon, which is a tendon that helps in the bending of a body part. The healing process is complex because the repaired tendon needs to be protected from further damage, while also being moved in a controlled way to avoid the formation of restrictive adhesions, which are fibrous bands that can limit movement.

Even though the tendon has to be protected, it’s also essential to start controlled movement as soon as possible to support healing and improve function. Knowing when to apply the right treatment is key and depends on understanding how tendons heal and what factors can affect this process.

It’s vital for the surgeon and the therapist to communicate and coordinate their efforts effectively. Injuries to tendons can have a significant impact on the hand’s function, so good rehabilitation is crucial to maintain as much function as possible.

FAQs

  1. What is the importance of early controlled motion in the process of tendon repair rehabilitation?
  2. How does coordination and communication between the surgeon and therapist affect the tendon healing process?
  3. How can tendon injuries affect hand function and how does proper rehabilitation help in preserving it?

Doctor’s Tip

One helpful tip a doctor might tell a patient about tendon repair is to follow a structured rehabilitation program designed to protect the repaired tendon from disruption while also encouraging controlled movement to prevent restrictive adhesion formation. It is important to work closely with a physical therapist and follow their guidance on when to start specific exercises and activities to optimize healing and regain function in the affected area. Communication with the healthcare team is key to ensuring a successful recovery.

Suitable For

Patients who are typically recommended tendon repair include those with flexor tendon injuries in the hand, such as lacerations or ruptures. These injuries can profoundly affect hand function, and appropriate rehabilitation is essential to preserve function to the fullest extent possible. The rehabilitation process involves protecting the repaired tendon from disruption while also moving it in a controlled fashion to prevent restrictive adhesion formation. Early controlled motion is required to enhance healing and function. Coordination and communication between the surgeon and therapist are essential for successful rehabilitation outcomes.

Timeline

Before tendon repair:

  1. Patient sustains an injury that damages the tendon, such as a laceration or rupture.
  2. Patient receives medical evaluation and diagnosis of the tendon injury.
  3. Patient undergoes surgery to repair the damaged tendon.
  4. Post-operative period involves immobilization of the repaired tendon to allow for initial healing.

After tendon repair:

  1. Initial phase of rehabilitation involves protection of the repaired tendon to prevent disruption.
  2. Gradual introduction of controlled motion exercises to prevent adhesion formation and promote healing.
  3. Therapist works with patient to gradually increase range of motion and strength in the repaired tendon.
  4. Patient continues with therapy and exercises to improve function and prevent re-injury.
  5. Full recovery and return to normal activities can take several months, depending on the severity of the tendon injury.

What to Ask Your Doctor

  1. What is the expected timeline for recovery after tendon repair surgery?
  2. What restrictions or limitations will I have during the recovery process?
  3. What type of rehabilitation program will I need to follow after surgery?
  4. How soon after surgery can I begin physical therapy?
  5. What are the potential risks or complications associated with tendon repair surgery?
  6. How will I know if the tendon repair is successful?
  7. Will I need any additional treatments or procedures after the initial surgery?
  8. How can I prevent re-injury to the repaired tendon in the future?
  9. What signs or symptoms should I watch for that may indicate a problem with the healing process?
  10. Are there any specific exercises or activities I should avoid during the recovery period?

Reference

Authors: Skirven TM, DeTullio LM. Journal: Hand Clin. 2023 May;39(2):181-192. doi: 10.1016/j.hcl.2022.08.019. PMID: 37080650