The tendon is the strong cord at either side of a muscle that is attached to bone. Tendons, combined with their muscles, enables you to move your joints.
In the fore arm and hand there are over 40 different muscles. A significant number of these muscles perform overlapping functions. After an injury, a portion of your muscles may not move correctly. Tendon transfer in Ongole is a medical procedure that moves a working muscle and tendon to supplant a non-working muscle and tendon.
For example, after a broken wrist, the tendon to the thumb (EPL ligament) that permits you to make "thumbs-up" can break. Frequently, the two ends of the tendon are extremely harmed and can't be sewn back together. There are 2 tendons that extend the index finger, and this finger can function adequately with only one. A trauma reconstruction specialist in Ongole at best skin hospital can move one of the index finger tendons to the thumb to permit you to give "thumbs-up".
Causes
You might require a tendon transfer to restore the function after the loss of muscle or tendon function from:
- Nerve injury (cut, stretched or torn nerve)
- Muscle injury (trauma, rheumatoid arthritis)
- Neuromuscular disorder (cerebral paralysis, stroke, traumatic brain injuries, and spinal muscle atrophy)
- Birth defect (infants born without specific muscle functions)
Treatment: Procedure
The surgery is performed when an individual is awake with a mild anesthesia or when an individual is completely sleeping. This type of anesthesia is based upon your injury and it is a decision done between the patient and the surgeon, Dr. Suneel Kishore.
The surgeon makes one or more incisions (cuts) in the skin. After finding the tendon of the extra muscle, the surgeon moves it and sews it to the tendon of the muscle that is not working. Sometimes more than one tendon transfer will need to be done at a time. The surgeon then closes the skin with stitches.
Recovery
After the surgery is done, the patient must have a splint or cast to protect the tendon transfer until the tendon gets healed to its new position. This usually takes 1 or 2 months. The need for hand therapy and the therapy timing changes and will be determined in a discussion with the surgeon. It’s essential to attend your hand therapy when prescribed and to follow the instructions of the therapist exactly. Very less movement or more movement can both create the problems.
Risks
The early dangers are rare yet can incorporate bleeding, infection or injury to close by nerves, ligaments or blood vessels. Later risks incorporate hand firmness, weakness of the transferred muscle, or rupture of the transfer and need for another surgery.
Other Treatment
Your hand surgeon will discuss with you if there are any choices for your specific injury. Options might include:
- Repair or nerve transfer
- Repair of muscle or tendon
- Splinting or fusion of joints.