Name of the Procedure:

Repair, Tendon or Muscle, Extensor, Forearm and/or Wrist; Secondary, Single, Each Tendon or Muscle
Common name(s): Extensor Tendon Repair, Secondary Extensor Muscle Repair

Summary

This procedure involves the surgical repair of a damaged or ruptured extensor tendon or muscle in the forearm or wrist. It is a secondary procedure, meaning it is performed after an initial surgery or injury.

Purpose

The primary purpose of this procedure is to restore function to the forearm or wrist by repairing damaged extensor tendons or muscles. This can improve range of motion, strength, and overall hand function.

Indications

• Persistent pain or weakness despite initial treatments
• Limited range of motion in the wrist or fingers
• Symptoms that interfere with daily activities or work
• Need for improved hand and wrist function following initial surgery or injury

Preparation

• Patients may need to fast for a certain period before the procedure.
• Adjustments to medications, particularly blood thinners, may be necessary.
• Pre-operative imaging tests like MRI or ultrasound to locate and assess the extent of damage.

Procedure Description

1. Anesthesia: The procedure is generally done under regional or general anesthesia.
2. Incision: A small incision is made over the site of the damaged tendon or muscle.
3. Repair: The surgeon will carefully isolate and repair the tendon or muscle using sutures to reattach and strengthen the tissue.
4. Closure: The incision is closed with stitches, and a sterile bandage is applied.

Duration

The procedure typically takes about 1 to 2 hours.

Setting

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

Personnel

• Surgeon (orthopedic or hand specialist)
• Surgical nurses
• Anesthesiologist

Risks and Complications

• Infection at the surgical site
• Scarring
• Nerve injury leading to numbness or tingling
• Limited range of motion if the repair does not heal properly
• Recurrence of the tendon or muscle injury

Benefits

• Improved wrist and hand function
• Reduced pain and discomfort
• Increased strength and range of motion
• Better quality of life and ability to perform daily activities

Recovery

• Post-procedure care involves immobilizing the wrist or forearm with a splint or cast.
• Pain management with prescribed medications.
• Physical therapy typically starts a few weeks after surgery to regain strength and mobility.
• Full recovery can take several weeks to a few months, depending on the extent of the injury and the individual’s healing process.

Alternatives

• Non-surgical treatments such as physical therapy, splinting, or corticosteroid injections
• Primary extensor tendon repair if the injury or condition is initially detected
• Pros: Less invasive, lower risk of complications.
• Cons: May not fully restore function if the damage is extensive or if non-surgical treatments fail.

Patient Experience

Patients may feel discomfort or pain during the immediate recovery period, which can be managed with medication. As healing progresses, they will experience improved function and reduced symptoms. Follow-up visits will be required to monitor healing and remove sutures.