27385 Suture of quadriceps or hamstring muscle rupture; primary

Name of the Procedure:

Suture of quadriceps or hamstring muscle rupture; primary.
Common names: Quadriceps tendon repair, Hamstring muscle suture.

Summary

This procedure involves stitching together a ruptured quadriceps or hamstring muscle to promote healing and restore functionality. The surgeon uses sutures to reconnect the torn muscle fibers.

Purpose

This procedure addresses tears or ruptures in the quadriceps or hamstring muscles, which can result from acute injuries or overuse. The goal is to restore muscle function, alleviate pain, and enable the patient to return to normal activities.

Indications

• Acute injuries causing muscle tears or ruptures in the quadriceps or hamstring.
• Persistent pain and weakness in the affected muscle.
• Physical examination and imaging (MRI, ultrasound) confirm the muscle rupture.

Preparation

• Follow fasting instructions if general anesthesia will be used.
• Discontinue certain medications (e.g., blood thinners) as advised.
• Pre-operative tests, including blood work, ECG, and imaging studies.

Procedure Description

1. The patient is positioned appropriately, and the surgical site is sterilized.
2. Anesthesia is administered (general or regional).
3. Incision is made over the site of muscle rupture.
4. The torn muscle fibers are located and aligned.
5. Sutures are used to stitch the muscle fibers back together.
6. The incision is closed, and a dressing is applied.
7. The leg may be immobilized in a brace or cast for initial healing.

Duration

The procedure typically takes 1 to 2 hours.

Setting

The procedure is performed in a hospital or surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurses
• Surgical technologists

Risks and Complications

• Infection at the surgical site
• Bleeding or hematoma
• Blood clots
• Anesthetic complications
• Scarring
• Incomplete healing or re-rupture

Benefits

• Pain relief
• Restored muscle function
• Improved mobility and quality of life
• Return to normal activities and sports

Recovery

• Post-operative rest and limited movement.
• Physical therapy to regain strength and flexibility, starting a few weeks after surgery.
• Regular follow-up appointments to monitor healing.
• Full recovery may take 3 to 6 months, with gradual return to activities.

Alternatives

• Non-surgical treatment (physical therapy, rest, medications) may be considered for less severe tears.
• Pros: Avoids surgical risks, shorter immediate recovery.
• Cons: Potential for incomplete healing, prolonged pain, and limited function.

Patient Experience

• Mild to moderate pain and swelling expected post-procedure, managed with medications.
• Initial discomfort due to immobilization.
• Gradual improvement in pain and function with physical therapy and healing.
• Support from healthcare providers for pain management and rehabilitation.