Name of the Procedure:

Tenodesis of biceps tendon at elbow (separate procedure)

Summary

In a tenodesis of the biceps tendon at the elbow, the surgeon reattaches the biceps tendon to the bone at the elbow joint. This procedure restores function and alleviates pain caused by tendon injuries.

Purpose

This procedure addresses injuries related to the biceps tendon, such as tears or severe damage. The primary goals are to reduce pain, restore arm function, and improve strength and stability in the elbow.

Indications

• Persistent, severe pain in the elbow
• Partial or complete tear of the biceps tendon
• Loss of function or weakness in the arm
• Failure of conservative treatments (e.g., physical therapy, medication)

Preparation

• Fasting for 6-8 hours before surgery
• Adjustments to current medications as advised by the doctor
• Preoperative assessments, including imaging tests like MRI or ultrasound

Procedure Description

1. Anesthesia: The patient receives general anesthesia or regional anesthetic.
2. Incision: A small incision is made near the elbow.
3. Tendon Preparation: The damaged biceps tendon is identified and prepared for reattachment.
4. Reattachment: The surgeon anchors the tendon to the bone using sutures or a small metal or absorbable screw.
5. Closure: The incision is closed with sutures or surgical staples and bandaged.

Duration

The procedure typically takes 1 to 2 hours.

Setting

Performed in an outpatient surgical center or hospital operating room.

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist

Risks and Complications

• Infection
• Bleeding
• Nerve damage
• Stiffness in the elbow joint
• Re-tear of the tendon
• Reaction to anesthesia

Benefits

• Alleviation of pain
• Restoration of arm and elbow function
• Increased strength and stability in the elbow joint
• Improved quality of life post-recovery

Recovery

• Initial rest and immobilization of the elbow
• Gradual reintroduction of movement with physical therapy
• Pain management with prescribed medications
• Full recovery and return to normal activities typically within 3-6 months

Alternatives

• Non-surgical options like physical therapy or corticosteroid injections
• Arthroscopic surgery
• Pros: Less invasive options may pose lower immediate risk
• Cons: May not provide long-term relief for severe injuries

Patient Experience

• During: Patient is under anesthesia and should feel no pain.
• After: Initial discomfort and soreness around the elbow, managed with pain medication.
• Rehabilitation includes physical therapy, which may be uncomfortable but is crucial for full recovery.
• Detailed instructions for post-operative care will be provided to ensure optimal healing and function restoration.