Name of the Procedure:

Suture of Infrapatellar Tendon; Secondary Reconstruction, Including Fascial or Tendon Graft

Summary

This procedure involves the surgical repair of the infrapatellar tendon located below the kneecap. It includes reconstruction using a graft made from fascia or tendon to reinforce and support the damaged tendon.

Purpose

The procedure aims to restore function and stability to the knee by repairing a damaged or ruptured infrapatellar tendon. The expected outcome is improved mobility, reduced pain, and enhanced knee strength.

Indications

• Infrapatellar tendon rupture or severe damage
• Chronic knee instability or weakness impacting daily activities
• Persistent pain unresponsive to conservative treatments like physical therapy or medication

Preparation

• Patients may need to fast for 8-12 hours before the procedure.
• Adjustments to medications, especially blood thinners.
• Preoperative imaging studies such as MRI or ultrasound.
• Routine blood tests and a physical examination.

Procedure Description

1. Anesthesia is administered, typically general or regional.
2. An incision is made over the infrapatellar tendon.
3. The damaged tendon is identified and debrided.
4. A graft is harvested from fascia or another tendon.
5. The graft is sutured to reinforce the infrapatellar tendon.
6. The surgical site is closed with sutures, and a sterile dressing is applied.

Duration

The procedure typically takes about 2-3 hours.

Setting

Performed in a hospital or a specialized surgical center.

Personnel

• Orthopedic Surgeon
• Surgical Nurses
• Anesthesiologist
• Surgical Technicians

Risks and Complications

• Infection
• Blood clots
• Nerve or vascular injury
• Graft rejection or failure
• Joint stiffness or limited range of motion
• Recurrence of tendon rupture

Benefits

• Improved knee stability and function
• Reduction or elimination of pain
• Enhanced ability to perform daily activities and physical exercise

Recovery

• Initial rest and immobilization with a brace.
• Physical therapy starting a few weeks post-surgery to regain strength and mobility.
• Full recovery may take several months; restrictions on weight-bearing and high-impact activities during this time.
• Follow-up appointments to monitor progress.

Alternatives

• Conservative treatments like physical therapy, bracing, and medication.
• Less invasive procedures such as injection therapies.
• Each alternative varies in effectiveness depending on the extent of tendon damage.

Patient Experience

Patients might experience moderate pain and swelling post-surgery, managed with prescribed pain relief medications. Gradual improvement in knee function should be expected, with long-term rehabilitation being crucial for optimal recovery.