28200 Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

Name of the Procedure:

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon.

Summary

This surgical procedure involves repairing a damaged flexor tendon in the foot without using a free graft. It can be done as a primary (initial) repair or a secondary (follow-up) repair.

Purpose

Flexor tendon repair surgery is aimed at restoring normal foot function and reducing pain caused by tendon damage. It helps improve mobility and strength in the affected foot.

Indications

• Tendon tears or ruptures causing pain and disability.
• Difficulty in flexing the foot or toes.
• Previous unsuccessful tendon repair surgeries.
• Injury to the tendon due to trauma or chronic overuse.

Preparation

• Patients may be instructed to fast for several hours prior.
• Medications might need adjustment, especially blood thinners.
• Diagnostic tests like MRI or ultrasound scans may be required to assess tendon damage.

Procedure Description

1. An appropriate anesthesia (local, regional, or general) is administered to ensure the patient is comfortable and pain-free.
2. The surgeon makes an incision over the damaged tendon.
3. The damaged tendon is identified and carefully repaired using sutures.
4. The incision is closed with stitches, and a sterile dressing is applied.

Duration

The procedure typically takes about 1 to 2 hours, depending on the extent of the damage.

Setting

This procedure is performed in a hospital or a surgical center.

Personnel

• Orthopedic surgeon or podiatric surgeon
• Anesthesiologist or nurse anesthetist
• Surgical nurses and assistants

Risks and Complications

• Infection at the surgical site
• Bleeding or blood clots
• Nerve damage leading to numbness or weakness
• Re-tearing of the tendon
• Stiffness or reduced mobility in the foot

Benefits

• Relief from pain and discomfort
• Improved foot function and mobility
• Increased strength and flexibility
• Better overall quality of life

Recovery

• Post-operative care includes keeping the foot elevated and using ice to reduce swelling.
• Pain management with prescribed medications.
• Physical therapy starts soon after surgery to regain movement and strength.
• Complete recovery can take several weeks to months, with gradual return to normal activities.

Alternatives

• Conservative management with physical therapy and medications.
• Use of orthotic devices to support the foot.
• Alternative surgical techniques like tendon grafting.
• Each alternative has its own pros and cons in terms of effectiveness, recovery time, and potential risks.

Patient Experience

During the procedure, the patient will be under anesthesia and should not feel pain. Post-surgery, there may be discomfort and swelling which can be managed with medications and rest. Adherence to physical therapy is crucial for a successful recovery and restoring full function.