Tendon Reconstruction

Tendon reconstruction is a surgical procedure aimed at repairing or replacing damaged or ruptured tendons, which are fibrous connective tissues that attach muscles to bones and facilitate movement of the joints. Tendon injuries can occur due to trauma, overuse, degenerative conditions, or sports-related injuries, leading to pain, weakness, and limited mobility. Tendon reconstruction is performed to restore tendon function, stability, and strength, thereby improving joint function and overall quality of life.

Evaluation and Diagnosis:

• Before undergoing tendon reconstruction surgery, patients typically undergo a thorough evaluation by an orthopedic surgeon or hand surgeon to assess the extent of tendon injury, functional deficits, and overall health.
• Diagnostic tests, such as physical examination, imaging studies (e.g., MRI, ultrasound), and functional assessments, may be performed to determine the location, severity, and extent of tendon damage.

Surgical Techniques:

• Tendon reconstruction techniques vary depending on the location and severity of the tendon injury, as well as the patient's age, activity level, and functional goals.
• Primary repair: In cases of partial tendon tears or lacerations, primary repair may be sufficient to restore tendon continuity and function. This involves suturing the torn ends of the tendon together using surgical techniques.
• Tendon grafting: In cases of severe tendon injuries or chronic tendon ruptures, tendon grafting may be necessary to replace the damaged tendon with healthy tissue. This involves using donor tissue (autograft or allograft) from another part of the body or synthetic materials to bridge the gap and restore tendon function.
• Tendon transfer: In cases of irreparable tendon injuries or loss of tendon function, tendon transfer may be performed to re-route or redirect the function of adjacent healthy tendons to compensate for the damaged tendon. This involves detaching and reattaching the tendon to a different insertion point to restore movement and function.

Rehabilitation and Recovery:

• Recovery after tendon reconstruction surgery involves a comprehensive rehabilitation program aimed at restoring range of motion, strength, and function of the affected joint.
• Physical therapy, occupational therapy, and hand therapy may be prescribed to promote healing, prevent stiffness, and improve muscle strength and coordination.
• The duration of rehabilitation and recovery may vary depending on the extent of tendon reconstruction performed, as well as individual healing factors and adherence to postoperative rehabilitation protocols.