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Tendon reconstruction surgery

Tendon damage can most often occur as a result of injury or disease. In case of absence of effective post-traumatic treatment of the tendon, it is necessary to reconstruct affected tendons in the hands in another procedure. This procedure also belongs to hand surgery.

Indications of the procedure

Any tendon damage should be examined. If the functional condition may be improved, surgical reconstruction may be chosen. After a consultation, a plastic surgeon will decide whether it is possible to manage your condition surgically. It is most often a surgical procedure where one of the following steps must be performed: suturing the damaged tendon, loosening the tendon (tenolysis), replacing the tendon with a tendon graft or silicone prosthesis, replacing the damaged tendon with another undamaged muscle, or displacement, turning over or other kind of reconstruction.

Form of intervention

Some procedures can be performed on an outpatient basis, but short-term hospitalisation is required in most cases. Your referring physician will decide whether your procedure will be performed under local anaesthesia or general anaesthesia.

Method and course of operation or procedure

The shape and location of the incisions in the hand is determined by the surgeon based on the type of performed procedure. If it is necessary to use a tendon or bone graft, you will have to undergo another procedure and will have another scar at the collection site. After the reconstruction, the wounds are sutured and a splint is usually applied. More complex reconstructions may sometimes require several delayed surgeries.

Postoperative course and recommendations

Subsequent rehabilitation after reconstruction is specific and is determined by the nature of the reconstruction procedure. You may have to wear a splint for several weeks, when you will not be able to use the treated hand. The sick leave duration is determined by your occupation and can be up to several months. Given the nature of the procedure, this surgery may not be the last, and it is possible you will need another surgery in the future.

Form of payment

Procedures are usually fully covered by health insurance.

This surgery is performed at our site by all plastic surgeons.