Name of the Procedure:

Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)

Summary

This procedure involves repairing damaged tendons or muscles in the upper arm or elbow, except those that are part of the rotator cuff. The repair can be for the initial injury (primary) or a subsequent issue (secondary). It aims to restore functionality and alleviate pain.

Purpose

This procedure addresses injuries or tears in the tendons or muscles of the upper arm or elbow. The goals include reducing pain, improving movement, and restoring strength and function to the affected area.

Indications

• Symptoms: Severe pain, swelling, and loss of function or movement in the upper arm or elbow.
• Conditions: Tendon or muscle tears, chronic tendonitis, or degeneration.
• Criteria: Failure of conservative treatments like physical therapy and medications, or acute injury requiring surgical intervention.

Preparation

• Fasting: Patients are typically required to fast for 6-8 hours before the procedure.
• Medications: Adjustments to blood thinners or other medications may be necessary.
• Diagnostic Tests: MRI, ultrasound, or X-rays to assess the extent of damage.

Procedure Description

The repair involves making an incision over the affected area, followed by careful reattachment of the torn tendon or muscle using sutures. Specialized surgical tools and techniques are used to ensure proper alignment and support. Depending on the extent of the injury, general or regional anesthesia may be applied.

Duration

The procedure usually takes between 1 to 2 hours.

Setting

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

Personnel

The team generally includes an orthopedic surgeon, surgical nurse, anesthesiologist, and potentially a physical therapist for post-operative care.

Risks and Complications

• Common risks: Infection, bleeding, and pain.
• Rare risks: Nerve damage, blood clots, and tendon re-tear.
• Complications: Delayed healing or stiffness, managed with physical therapy and medication.

Benefits

• Pain relief.
• Improved movement and strength.
• Enhanced quality of life.
• Benefits may be evident within weeks post-surgery, with full recovery in a few months.

Recovery

• Care: Keep the surgical site clean and dry, follow wound care instructions.
• Time: Initial recovery in around 6 weeks; full recovery may take 3-6 months.
• Restrictions: Limited arm movement, avoid heavy lifting.
• Follow-up: Regular check-ups and possibly physical therapy.

Alternatives

• Non-surgical treatments: Physical therapy, medications, or injections.
• Pros and Cons: Less invasive but may not be as effective for severe injuries.

Patient Experience

• During: Under anesthesia, the patient feels no pain.
• After: Post-operative pain managed with medications. Expect discomfort, swelling, and initial stiffness. Pain management and physical therapy will aid comfort and recovery.