Tendon Surgery Recovery: Key Insights and Concerns

Post-Tendon Surgery

My brother suffered a tendon injury on the back of his wrist from a glass cut two days ago, causing his right middle and ring fingers to bend involuntarily and be unable to extend.
He underwent surgery under local anesthesia in the plastic surgery department at Asia University Hospital, and the suturing was successful.
I would like to ask the doctor:
1.
When the doctor says the surgery was very successful, does that mean that if we follow the doctor's instructions for rehabilitation and pay attention to his behavior, it is certain that he will recover?
2.
Shouldn't a tendon injury be evaluated by an orthopedic surgeon? Why was it handled by the plastic surgery department? Should we consider switching to an orthopedic specialist?
3.
My mother is very worried; she has been crying since the day he was injured, fearing that those two fingers may not recover properly in the future.
Doctor, is it possible that even after a successful surgery and strictly following the postoperative care instructions and the doctor's advice, he might still not recover fully?
Finally, thank you, doctor, for patiently reading and responding.

Yvonne, 10~19 year old female. Ask Date: 2016/05/25

Dr. Shi Guozheng reply Orthopedics

Typically, injuries to the extensor tendons of the fingers on the dorsal side of the hand heal well after suturing.
The tendons on the back of the hand are less likely to develop adhesions.
Treatment for hand injuries can be effectively managed by either a hand surgeon or an orthopedic surgeon.
Following the physician's instructions and participating in rehabilitation therapy will lead to recovery.

Reply Date: 2016/05/25

More Info

Understanding tendon surgery recovery is crucial for both patients and their families, especially in the case of injuries like your brother's. Tendon injuries, particularly in the hand, can significantly impact functionality, and the recovery process can be complex. Here are some key insights and concerns regarding tendon surgery recovery.

1. Success of Surgery and Recovery Expectations
When a surgeon states that the surgery was successful, it typically means that the procedure was performed correctly, and the tendon has been properly repaired. However, this does not guarantee a complete return to pre-injury function. Recovery from tendon surgery involves several factors, including:
- Adherence to Rehabilitation Protocols: Following the surgeon's post-operative instructions is critical. This often includes physical therapy, which helps restore movement and strength to the affected fingers. The timeline for recovery can vary widely, but with diligent rehabilitation, many patients see significant improvement.

- Individual Healing Factors: Each person's healing process is unique. Factors such as age, overall health, and the extent of the injury can influence recovery. Younger patients or those in good health may recover faster than older individuals or those with underlying health issues.

- Potential Complications: Even with a successful surgery, complications can arise, such as stiffness, scarring, or re-rupture of the tendon. These issues can hinder recovery and may require additional interventions.

2. Specialty of Care: Hand Surgery vs. Orthopedic Surgery
Regarding your question about why a plastic surgeon performed the tendon repair instead of an orthopedic surgeon, it’s important to note that hand surgery is a specialized field that can be practiced by both orthopedic surgeons and plastic surgeons. Many plastic surgeons have extensive training in hand surgery, particularly in repairing soft tissue injuries, including tendons.
If there are concerns about the surgical approach or if your brother's recovery does not progress as expected, it may be beneficial to consult with an orthopedic surgeon who specializes in hand injuries. They can provide a second opinion and ensure that all aspects of the injury are being addressed.

3. Emotional Concerns and Family Support
It’s completely understandable for your mother to be worried about your brother’s recovery. Emotional support is vital during this time. Here are some points to consider:
- Realistic Expectations: While many patients do recover well after tendon surgery, it’s essential to set realistic expectations. Full recovery can take weeks to months, and some patients may experience lingering effects, such as reduced range of motion or strength.

- Encouragement and Support: Encourage your brother to stay positive and engaged in his recovery process. Emotional well-being can significantly impact physical recovery. Family support, understanding, and patience are crucial during this time.

- Communication with Healthcare Providers: Regular communication with the healthcare team can help alleviate concerns. If there are specific worries about recovery or functionality, discussing these with the surgeon or physical therapist can provide clarity and reassurance.

Conclusion
In summary, while a successful tendon repair is a positive step, recovery involves a multifaceted approach that includes rehabilitation, individual healing factors, and emotional support. It is essential to follow the post-operative care plan closely and maintain open communication with healthcare providers. With dedication to rehabilitation and support from family, there is a good chance that your brother will regain functionality in his fingers. However, it is also important to remain realistic about the recovery process and to be prepared for the possibility of ongoing therapy and adjustments.

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