What to Expect During a Hand Tendon Repair Procedure

Key Takeaways

  • Hand tendon repair is crucial after serious injuries or when certain medical conditions affect the function of the tendons.
  • Preparation, understanding the surgical process, and following post-operative care and therapy are vital for optimal recovery.
  • Complications are rare but possible, so being aware and communicating with your care team can lead to better outcomes.
  • Recovery is a gradual process, and following guidelines helps restore function and return to daily activities.

Understanding Hand Tendon Injuries

Hand tendons play a vital role in enabling movement and dexterity in the fingers and thumb. These fibrous cords connect muscles to the bones, facilitating every pinch, grip, and grasp. Injuries to hand tendons may arise from lacerations, blunt trauma, or underlying health conditions like rheumatoid arthritis. If tendons are severely damaged, movement and hand function can be significantly impaired, often requiring surgical intervention from an experienced hand doctor in Jenks for wrist and finger injuries to restore your quality of life.

Common symptoms of tendon injury include inability to bend or straighten fingers, swelling, pain, or a noticeable cut. Early diagnosis and prompt treatment are critical to prevent long-term disability and ensure the best possible outcome from surgical repair. To determine the extent of a tendon injury, a hand specialist typically conducts a physical examination and may use imaging studies, such as ultrasound or MRI.

Preparing for Surgery

Once a tendon injury requiring surgery is identified, meticulous preparation is essential. Your healthcare provider will review your medical history, allergies, and medication usage. Pre-operative instructions may include fasting before the procedure and pausing certain medications that could impede healing or increase bleeding risk, such as blood thinners or nonsteroidal anti-inflammatory drugs (NSAIDs).

Anesthesia options—ranging from local to general—will be discussed to ensure your safety and comfort during the surgical procedure. It’s essential to ask questions and clarify any concerns before the day of your procedure, as your active participation contributes to a smoother experience and less anxiety.

The Surgical Procedure

Hand tendon repair is generally performed under sterile conditions in an operating room. The surgeon begins by making a careful incision over the site of injury to access the torn or severed tendon. Under magnification, the surgeon meticulously stitches the tendon’s ends back together with fine, durable sutures. In more complex cases where tendon tissue is lost, a tendon graft from another part of the patient’s body may be used to bridge the gap and restore finger movement.

After the tendon is repaired, the surgeon closes the incision with sutures, and the area is protected with a sterile bandage. The hand is then immobilized with a splint or cast to safeguard the repair during those crucial early healing weeks. 

Post-Operative Care

Post-surgery, the primary focus is on protecting the repair and promoting healing. Your hand will likely remain in a splint or cast, keeping the affected area immobilized for several weeks. Managing post-operative pain is commonly achieved with prescribed medications and by keeping the hand elevated to minimize swelling.

Hygiene and wound care also play a crucial role in preventing infection. You’ll receive specific instructions on how to keep the wound clean and recognize early signs of complications, such as increased redness, pus, or severe swelling. If any of these occur, contact your surgeon immediately.

Rehabilitation and Physical Therapy

Physical rehabilitation is a cornerstone of tendon healing. Early, gentle motion, under the guidance of a certified hand therapist, is critical to preventing unwanted scarring and joint stiffness. Your therapist will design a customized exercise program to restore the range of motion and strength gradually.

Strict adherence to your therapy regimen cannot be overstated, as improper use or neglect of exercises can prolong recovery or compromise hand function. Consistency, patience, and attending all scheduled therapy visits pave the way for a successful recovery. 

Potential Complications

Complications after hand tendon repair are infrequent but should be recognized promptly. These may include infection, excessive scar tissue leading to stiffness, or, in rare cases, a re-rupture of the repaired tendon. Signs of trouble include worsening pain, persistent swelling, discoloration, or drainage from the incision. Discuss any abnormal symptoms with your healthcare provider to prevent minor complications from developing into serious issues.

Recovery Timeline

Recovery from hand tendon repair occurs in phases. Most patients regain tendon strength within 12 weeks, but returning to the full pre-injury range of motion may take up to six months. Each person’s healing speed is influenced by age, overall health, diligence with rehabilitation, and the severity of the injury.

Hands are intricate, and recovery calls for patience. Overexertion too soon can jeopardize the repair. Regular follow-ups, clear communication with your care team, and following aftercare instructions are your best strategies for optimal recovery.

Returning to Daily Activities

Gradual return to routine activities is advised. Light self-care tasks may be possible within a few weeks post-surgery, especially if your dominant hand was unaffected. More strenuous manual activities, such as sports, heavy lifting, gripping, or repetitive hand motions, should only resume after medical clearance to avoid compromising the repair.

Your doctor or therapist will assess your progress with functional tests and recommend tailored timelines for resuming work, hobbies, or athletic activities.

also read: Post-Traumatic Growth: Can Suffering Make You Stronger?

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