Hand Tendon Repair Surgery

Hand tendon injuries can severely impact your ability to perform daily tasks, potentially leading to long-term dysfunction without proper treatment. If you're struggling with hand mobility or pain due to tendon damage, consult with Pristyn Care’s experienced orthopaedic surgeons who specialize in advanced hand tendon repair techniques. Book your appointment today for expert care and a personalized recovery plan to restore your hand's function and health.

Hand tendon injuries can severely impact your ability to perform daily tasks, potentially ... Read More

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What Is Hand Tendon Repair?

Hand tendon repair is a surgical procedure aimed at mending damaged tendons in the hand, which are crucial for movement and function. This type of surgery is necessary when tendons are severed or ruptured, impairing normal hand motions such as bending or straightening fingers. The procedure involves a surgeon making an incision to access and stitch the torn tendon ends together, often performed under local anaesthesia.

Hand tendon injury is typically managed by orthopaedic surgeons or specialised hand surgeons. The surgery not only restores function but also alleviates pain associated with the injury. Recovery involves a significant period of rehabilitation to strengthen the hand and regain mobility.

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What Are The Types Of Hand Tendon Repair?

Hand tendon repair is a critical surgical procedure aimed at restoring functionality after tendon injuries. There are several types of hand tendon repair:

Primary Repair: This involves the immediate surgical reconnection of the severed tendon, usually performed within hours of the injury.
Delayed Primary Repair: Conducted a few days after the injury, this approach allows swelling to reduce but still occurs soon enough to facilitate direct tendon healing.
Secondary Repair: This type of repair may occur weeks or months after the injury and can involve complex procedures like tendon grafts, where tendons from other parts of the body are used to replace the damaged ones.

Each method addresses different severities and timing of tendon injuries, helping to tailor the treatment to the patient’s specific needs.

Diagnosis Before Hand Tendon Repair

Before proceeding with hand tendon repair, a thorough diagnosis is essential to determine the best surgical approach:

Physical Examination: This initial step helps assess the hand’s functionality and visible tendon damage.
Imaging Tests: Ultrasound imaging is often utilised to visualise the extent of the tendon damage and guide the repair process.
X-rays: These may be taken to rule out associated bone injuries.
MRI: Provides a detailed view of soft tissues including the tendons, which can be helpful in complex cases.

These diagnostic tools help in forming a comprehensive understanding of the injury, which is crucial for effective treatment.

What Is The Procedure For Hand Tendon Repair?

The procedure for hand tendon repair varies depending on the injury’s extent and the type of repair needed, but typically involves the following steps:

Anaesthesia: Local or regional anaesthesia is administered to numb the area.
Incision: A small incision is made in the hand or finger to access the damaged tendon.
Tendon Repair: The surgeon uses sutures to repair the tendon. In cases of severe damage, a graft may be required.
Rehabilitation: Post-surgery, a combination of splinting and physical therapy is essential to restore function and prevent stiffness.

This surgical approach focuses on meticulous repair and careful hand tendon management to ensure the best possible recovery and restoration of hand function. Proper hand tendon treatment is crucial for successful rehabilitation and return to normal activities.

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Who Is The Right Candidate For Hand Tendon Repair?

Hand tendon repair is a specialised surgical procedure designed to restore hand function following tendon damage. Candidates for this surgery typically include:

Individuals with Clean Cuts: Those who have sustained clean cuts to their hand, often from accidents involving glass or sharp objects.
Patients with Sports Injuries: Athletes who have injured their tendons during sports activities.
Chronic Tendon Issues: Patients with ongoing tendon problems due to conditions like rheumatoid arthritis or repetitive motion injuries.
Severe Tendon Lacerations: Anyone with severe tendon lacerations that cannot heal without surgical intervention.
Failed Previous Tendon Repair: Patients who have not achieved successful healing after a previous tendon repair attempt.

These individuals often experience decreased hand function, pain, or inability to perform daily tasks, making them suitable candidates for tendon repair.

What Are The Benefits Of Hand Tendon Repair?

Hand tendon repair offers numerous benefits aimed at restoring function and quality of life:

Restoration of Hand Function: Enables patients to regain the use of their hands and fingers.
Reduction in Pain: Significantly reduces or eliminates the pain associated with tendon damage.
Improved Hand Strength: Restores strength to the hand, allowing for a return to daily activities.
Prevention of Further Damage: Corrects deformities and prevents further deterioration of hand function.
Enhanced Dexterity: Improves fine motor skills and dexterity, essential for tasks requiring precise hand movements.

These benefits highlight the importance of hand tendon treatment for individuals suffering from tendon injuries.

How To Prepare For Hand Tendon Repair?

Preparing for hand tendon repair involves several key steps:

Medical Evaluation: Undergo a thorough medical evaluation to confirm the need for surgery.
Medication Review: Discuss current medications with your doctor to identify any that should be paused before surgery.
Preoperative Testing: Complete any required preoperative tests such as blood work or imaging studies.
Fasting: Follow fasting instructions provided by your healthcare team before the surgery.
Arrangements for Recovery: Arrange for help at home during the initial recovery period, as your hand functionality will be limited.

These preparations are crucial for a successful surgery and recovery process in hand tendon management.

What Are The Recovery Tips and Precautions To Follow After Hand Tendon Repair?

Recovering from hand tendon repair is critical for achieving the best outcome:

Hand Elevation: Keep your hand elevated to reduce swelling.
Wound Care: Follow instructions for caring for the surgical site to prevent infection.
Hand Therapy: Participate in physical therapy to restore mobility and strength.
Splinting: Use splints as directed to support the hand during healing.
Activity Modification: Avoid strenuous activities and follow guidelines on gradually increasing hand use.
Pain Management: Manage pain through prescribed medications and ice therapy if recommended.

Adhering to these recovery tips ensures effective healing and a return to normal hand function after tendon repair.

Potential Risks Or Complications Associated With Hand Tendon Repair

Hand tendon repair is generally safe but carries some potential risks and complications:

Infection: Occurs in about 5% of cases, particularly if the wound is contaminated.
Repair Failure: About 5% of tendon repairs may fail, leading to tendon rupture, especially if the post-operative care guidelines are not followed properly.
Tendon Adhesion: The repaired tendons may become stuck to surrounding tissue, reducing mobility and sometimes requiring further surgery.
Nerve Damage: There is a risk of damaging nerves close to the affected tendons, affecting hand sensation and function.
Stiffness and Reduced Mobility: Common after surgery, often requiring physical therapy to regain full function.

These complications underline the importance of following post-operative care instructions and engaging in recommended rehabilitation activities to minimise risks.

What Is The Cost Of Hand Tendon Repair In India?

The cost of hand tendon repair in India varies widely, generally ranging from Rs. 30,000 to Rs. 1,20,000. Factors affecting the cost include:

Severity and Complexity: More complex injuries requiring advanced techniques are more expensive.
Surgeon’s Expertise: Highly experienced surgeons typically charge more.
Hospital Facilities: Costs vary between private and public hospitals.
Location: Costs can differ based on the city and region.

These variables make it essential to consult with healthcare providers to get a precise estimate.

Is Hand Tendon Repair Covered Under Insurance?

Hand tendon repair is typically covered under health insurance in India if deemed medically necessary, which includes cases where the surgery is required to restore function or prevent further health complications. However, if the procedure is elective or primarily for cosmetic reasons, it might not be covered. Patients should check with their insurance provider to understand the coverage specifics and any potential out-of-pocket costs.

FAQs

Q1. Can hand tendon repair prevent arthritis?

While hand tendon repair is not primarily aimed at preventing arthritis, it can alleviate symptoms and prevent further joint and tendon deterioration that might contribute to arthritic conditions.

Q2. How soon after injury should hand tendon repair be performed?

Ideally, hand tendon repair should be performed as soon as possible, typically within a few days to a week after the injury to ensure better outcomes and simpler surgical procedures.

Q3. Is hand tendon repair a permanent solution?

While hand tendon repair can provide long-lasting results, the durability of the repair depends on the injury’s severity, the effectiveness of the surgery, and adherence to post-surgical rehabilitation.

Q4. Can I use my hand normally after tendon repair?

Post-surgery, with proper rehabilitation, most patients can regain significant use of their hand. However, the extent of recovery might vary, and some might not regain full function.

Q5. What is the typical recovery time for hand tendon repair?

Recovery can vary significantly but generally involves several weeks of immobilisation followed by months of physical therapy to regain strength and flexibility.

Q6. How effective is physical therapy after hand tendon repair?

Physical therapy is crucial for recovery, helping to restore movement, reduce stiffness, and strengthen the hand, thereby significantly impacting the overall outcome of the surgery.

Q7. Are there any age restrictions for undergoing hand tendon repair?

There are no strict age restrictions for hand tendon repair. Treatment decisions are more commonly based on the patient’s overall health, the nature of the injury, and the potential for recovery.

Q8. What are the signs that a tendon repair might be failing?

Signs of a failing repair include increased pain, swelling, inability to move the fingers, or a snapping sensation in the hand, indicating that the tendon may have re-ruptured.

Q9. Can hand tendon repair surgery be redone if it fails?

Yes, in many cases, tendon repair surgery can be redone. Secondary surgeries might involve more complex procedures such as tendon grafts or transfers.