Tendon Transfer

Tendon transfer is a surgical procedure that is performed to improve muscle function and joint mobility in people with certain conditions or injuries. It involves moving the tendon from one muscle to another, in order to restore strength and function to the affected area.

Tendon transfer is commonly used to treat conditions such as nerve injuries, muscle weakness, and paralysis. Symptoms that may benefit from tendon transfer surgery include difficulty moving a joint, weakness in a muscle or group of muscles, and loss of sensation in a particular area.

Causes of these symptoms can include nerve damage, spinal cord injuries, muscular dystrophy, and other neurological disorders. The decision to perform tendon transfer surgery is typically made on a case-by-case basis, and depends on the specific condition and severity of the symptoms.

Need to know

What happens during surgery?

During the surgery, the patient is placed under anaesthesia, so they are unconscious and feel no pain. The surgeon then makes an incision at the site of the donor tendon, which is usually located near the area where the tendon is needed. The donor tendon is then carefully detached from its original attachment and carefully routed to the new location where it is needed. The surgeon then attaches the tendon to its new location, using sutures or small screws to secure it in place. After the procedure is complete, the incisions are closed, and the patient is typically placed in a cast or splint to immobilize the affected limb.

How to prepare?

If you are scheduled to undergo tendon transfer surgery, it’s important to prepare properly to increase the chances of a successful outcome and a smooth recovery. Here are some general tips to help you prepare:

• Follow your surgeon’s instructions: Your surgeon will provide you with specific instructions on how to prepare for surgery, such as when to stop eating and drinking and which medications to stop taking. It’s crucial to follow these instructions closely to avoid any complications during the surgery.
• Discuss your medical history: Be sure to inform your surgeon of your complete medical history, including any previous surgeries, allergies, and chronic medical conditions. This information can help your surgeon make informed decisions during the surgery and minimize the risk of complications.
• Stop smoking: If you smoke, it’s essential to stop smoking at least two weeks before surgery to help minimize the risk of complications and improve your recovery.
• Get physically fit: Depending on the location of the tendon transfer, your surgeon may recommend specific exercises to strengthen the muscles surrounding the affected area before the surgery. This can help you recover more quickly and with better results.
• Prepare for post-surgery recovery: Tendon transfer surgery typically requires a prolonged period of recovery, including physical therapy and rehabilitation. Make sure you have the necessary support, including family members or friends who can help with daily tasks and transportation.
• Plan ahead: Arrange for someone to accompany you to the surgery and take you home afterward. You may also want to prepare some meals in advance to make things easier during the recovery period.

It’s crucial to talk with your surgeon to get specific instructions on how to prepare for your surgery, as every case is unique, and your surgeon may have additional instructions based on your particular situation.

After Tendon Transfer surgery?

After tendon transfer surgery, you will likely spend some time in the hospital to recover from the anaesthesia and ensure that there are no immediate complications. Once you are released, you will need to take special care to ensure proper healing and minimize the risk of complications.

Here are some general tips on what to expect after surgery:

• Pain management: You will likely experience some pain and discomfort after the surgery, which can be managed with pain medications prescribed by your surgeon. Be sure to take the medications as directed and report any unusual pain or symptoms to your doctor.
• Immobilization: Depending on the location of the tendon transfer, you may need to wear a cast or brace to immobilize the affected limb and protect the surgical site. Follow your surgeon’s instructions on how long to wear the cast or brace and how to care for it.
• Physical therapy and rehabilitation: After the immobilization period, you will likely need to undergo physical therapy and rehabilitation to regain strength, range of motion, and flexibility in the affected limb. Your surgeon will provide you with specific instructions on what exercises to perform and how often
• Follow-up appointments: Your surgeon will schedule follow-up appointments to monitor your progress and ensure that the tendon transfer is healing properly. Be sure to attend all appointments and report any unusual symptoms or concerns to your doctor.
• Lifestyle adjustments: Depending on the location of the tendon transfer and your specific situation, you may need to make some lifestyle adjustments, such as avoiding certain activities or modifying the way you perform daily tasks.

It’s crucial to follow your surgeon’s instructions closely and attend all scheduled appointments to ensure proper healing and minimize the risk of complications. Be patient, as recovery can take several months, and focus on following a healthy diet and lifestyle to support the healing process.