25270 Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle

Name of the Procedure:

Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle

Summary

This procedure involves the surgical repair of a damaged or torn extensor tendon or muscle in the forearm or wrist. It aims to restore normal function and mobility by reattaching the tendon or muscle fibers.

Purpose

The procedure addresses issues such as tears, lacerations, or ruptures in the extensor tendons or muscles of the forearm and wrist. The goal is to restore full function, strength, and range of motion to the affected area, alleviating pain and improving the patient's ability to perform daily activities.

Indications

• Sudden injury causing tendon or muscle tears
• Chronic conditions leading to tendon or muscle degeneration
• Symptoms: pain, swelling, and impaired movement in the forearm or wrist
• Unsatisfactory responses to conservative treatments like rest, therapy, and medication

Preparation

• Patients may need to fast for a specific period before the procedure.
• Adjustments to current medications, especially blood thinners, as directed by the healthcare provider.
• Pre-operative diagnostic tests such as MRI or ultrasound to assess the extent of injury.

Procedure Description

1. The patient is positioned and sterile drapes applied.
2. Anesthesia is administered—typically local anesthesia with sedation or general anesthesia, depending on complexity.
3. An incision is made over the injury site.
4. The damaged tendon or muscle is isolated and carefully repaired using sutures.
5. The surgeon ensures the proper alignment and tension of the tendon or muscle.
6. The incision is closed with sutures, and a sterile dressing is applied.
7. The wrist or forearm may be immobilized in a cast or splint to protect the repair.

Duration

The procedure typically takes about 1-2 hours, depending on the severity of the injury and the specific details of the repair needed.

Setting

This surgery is usually performed in a hospital or an outpatient surgical center.

Personnel

• Orthopedic surgeon or hand surgeon
• Anesthesiologist
• Surgical nurse
• Operating room technician

Risks and Complications

• Infection
• Nerve damage
• Stiffness or reduced range of motion
• Tendon re-rupture or inadequate healing
• Risks associated with anesthesia
• Blood clots

Benefits

• Restoration of normal function and movement
• Relief from pain and discomfort
• Improved strength and dexterity in the affected limb
• Enhanced ability to perform daily tasks

Recovery

• Keeping the limb elevated and applying ice packs to reduce swelling
• Pain management with prescribed medications
• Physical therapy to regain strength and mobility
• Avoiding strenuous activities until fully healed
• Follow-up appointments to monitor healing progress

Alternatives

• Physical therapy and rehabilitation alone, which may not fully repair the tendon
• Non-surgical treatments such as corticosteroid injections
• In some cases, orthotic devices to support the wrist and forearm

Patient Experience

During the procedure, the patient will not feel pain due to anesthesia. Post-operatively, there may be discomfort managed with pain medications. Following the procedure, the patient will need to follow a rehabilitation program to ensure optimal recovery and regain full function.