28210 Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Name of the Procedure:

Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft)

Summary

This surgical procedure repairs damaged or torn extensor tendons in the foot using a free graft from another part of the body. It is typically performed when initial treatments have failed, and the tendon requires reinforcement or replacement for optimal function.

Purpose

This procedure addresses conditions where extensor tendons in the foot are damaged or torn, leading to pain, limited motion, and difficulty walking. The goals are to restore tendon function, relieve pain, and improve overall mobility and foot stability.

Indications

• Torn or ruptured extensor tendons in the foot
• Chronic tendonitis not responding to conservative treatments
• Foot deformities due to tendon damage
• Persistent pain and limited foot motion

Preparation

• Fasting for at least 8 hours before the procedure
• Halting certain medications as instructed by the doctor
• Diagnostic tests like X-rays or MRI to assess tendon damage and plan the graft

Procedure Description

1. The patient is administered anesthesia—either local, regional, or general anesthesia, depending on the case.
2. An incision is made over the damaged tendon in the foot.
3. The damaged extensor tendon is identified and prepared for grafting.
4. A graft is harvested from another suitable site in the patient’s body.
5. The graft is stitched into place to repair or reinforce the damaged tendon.
6. The incision is closed with sutures, and the foot is bandaged.

Tools and technology used include surgical scalpels, sutures, and medical imaging equipment.

Duration

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

Setting

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

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist
• Surgical technologist

Risks and Complications

• Infection at the incision site
• Bleeding or blood clots
• Graft rejection or failure
• Nerve damage
• Recurrence of tendon issues

Benefits

• Restoration of foot function
• Pain relief
• Improved mobility and stability
• Enhanced quality of life

Patients may begin to see benefits within weeks, although full recovery may take several months.

Recovery

• Rest and elevation of the foot
• Application of ice to reduce swelling
• Use of crutches or walking aids as directed
• Follow-up appointments for suture removal and progress checks
• Physical therapy to restore strength and flexibility
• Recovery time varies but usually spans several weeks to months

Alternatives

• Non-surgical treatments like physical therapy, orthotics, and medications for pain and inflammation
• Less invasive procedures like tendon debridement
• Pros and cons should be discussed with the healthcare provider as they vary based on individual cases

Patient Experience

During the procedure, the patient should not feel pain due to anesthesia. Post-surgery, discomfort, swelling, and limited foot use can be expected. Pain management includes prescribed medications, icing, and elevation. Comfort measures involve supportive footwear and follow-up care to ensure proper healing.