Name of the Procedure:

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Summary

This surgical procedure involves repairing a damaged flexor tendon in the foot using a graft from another part of the body. The graft is called a "free graft" because it is harvested and placed into the damaged area. This is typically done when previous tendon repair attempts have failed or if the injury is severe.

Purpose

The primary purpose of this procedure is to restore function and mobility to the foot by repairing a damaged flexor tendon. The expected outcome is improved movement, reduced pain, and the prevention of further damage or deformity.

Indications

• Chronic tendon injuries that have not healed with conservative treatments
• Previous tendon repair that has failed
• Tendon rupture or severe tendon damage
• Persistent pain, weakness, or loss of function in the foot

Preparation

• Fasting for at least 8 hours before the procedure
• Stopping certain medications as advised by the doctor
• Undergoing preoperative diagnostic tests such as X-rays or MRI
• Completing a physical examination and medical history review

Procedure Description

1. The patient is put under general anesthesia.
2. An incision is made over the damaged tendon in the foot.
3. The damaged section of the tendon is removed.
4. A tendon graft is harvested from another part of the patient's body, typically from the leg.
5. The graft is carefully stitched into place to replace the damaged tendon.
6. The incision is closed with sutures, and the area is bandaged.

Tools and equipment used include surgical instruments for incision and suturing, and possible imaging devices for guidance.

Duration

The procedure typically takes about 2 to 3 hours.

Setting

The procedure is usually performed in a hospital or surgical center.

Personnel

• Orthopedic or specialized foot surgeon
• Anesthesiologist
• Surgical nurses
• Operating room technicians

Risks and Complications

• Infection
• Bleeding
• Nerve damage
• Graft failure or rejection
• Prolonged recovery or need for additional surgery
• Blood clots

Benefits

• Improved foot function and mobility
• Pain relief
• Reduced risk of further injury or deformity Benefits can typically be noticed within a few months of recovery.

Recovery

• The foot will be immobilized in a cast or brace.
• Pain medication may be prescribed.
• Physical therapy will be essential for recovery.
• Full recovery may take 3 to 6 months, with gradual return to weight-bearing activities.
• Follow-up appointments are necessary to monitor healing.

Alternatives

• Conservative treatments such as physical therapy, orthotic devices, or medications
• Another type of tendon repair surgery
• Potentially, a synthetic graft instead of a human one

Each alternative comes with its own risks, benefits, and success rates which should be discussed with the healthcare provider.

Patient Experience

During the procedure, the patient will be under anesthesia and will not feel pain. Post-procedure, there will be discomfort and pain, managed with medication. Rehabilitation can be challenging but is crucial for a successful outcome.