Tendon Release Procedure

About

➀ Read and Learn

The following course content

Introduction   

Tendon release, also known as tendon lengthening or tendonectomy, is a surgical procedure used to treat various musculoskeletal conditions such as tendonitis, tendinosis, and tendon ruptures (1). The goal of tendon release is to relieve tension on the affected tendon, promote healing, and restore function to the affected limb (2). This course will provide an overview of tendon release, its definition, purpose, types, recovery time, restrictions, and goals. 

Definition 

Tendon release is a surgical procedure that involves cutting or lengthening a tendon to relieve tension and promote healing (3). The procedure can be performed on various tendons in the body, including the Achilles tendon, rotator cuff tendons, and flexor tendons in the hand (4). 

Additionally, tendon release can be performed using different techniques, including open, percutaneous, and arthroscopic methods (5). Each technique has its advantages and disadvantages, and the choice of technique depends on the individual patient’s needs and the surgeon’s preference. 

Purpose 

The primary purpose of tendon release is to relieve pain and restore function to the affected limb (6). The procedure can also be used to treat conditions such as tendonitis, tendinosis, and tendon ruptures (7). Furthermore, tendon release can also be used to improve the range of motion and strength in the affected limb (8). By relieving tension on the tendon, the procedure can help to reduce stiffness and improve joint mobility, allowing patients to return to their normal activities. 

Goals of Tendon Release 

Tendon release is a surgical procedure used to treat various musculoskeletal conditions that affect the tendons. These conditions can lead to pain, stiffness, and limited mobility, making it difficult to perform daily activities. Some of the conditions that may lead to the need for a tendon release include: 

• Tendinopathy: a degenerative condition characterized by tendon pain, stiffness, and limited mobility (1). 

• Tendonitis: inflammation of the tendon, often caused by repetitive strain or overuse (2). 

• Tendon rupture: a complete or partial tear of the tendon, often caused by trauma or injury (3). 

• Adhesive capsulitis: a condition characterized by inflammation and scarring of the tendon and surrounding tissue (4). 

• Dupuytren’s contracture: a condition characterized by thickening and contraction of the tendon in the hand (5). 

• Trigger finger: a condition characterized by inflammation and scarring of the tendon in the finger (6). 

These conditions can be caused by a variety of factors, including: 

• Repetitive strain or overuse (7) 

• Trauma or injury (8) 

• Poor posture or biomechanics (9) 

• Age-related wear and tear (10) 

• Certain medical conditions, such as diabetes or rheumatoid arthritis (11) 

If left untreated, these conditions can lead to chronic pain, limited mobility, and decreased quality of life. Tendon-release surgery can help to alleviate symptoms and improve function, yet it is always best to explore conservative less invasive treatment options first (12). 

The goals of tendon release include: 

• Relieving pain and inflammation 

• Promoting healing and tissue repair 

• Restoring function and mobility to the affected limb 

• Improving range of motion and strength 

In addition to these goals, tendon release can also aim to greatly improve a patient’s day to day activities and quality of life (9). By relieving pain and improving function, the procedure can help patients return to their normal day-to-day activities there by improving their overall well-being. 

Types of Tendon Release 

There are several types of tendon release procedures, including: 

• Open tendon release: This involves making an incision in the skin to access the affected tendon (10). 

• Percutaneous tendon release: This involves making small incisions in the skin to access the affected tendon (11). 

• Arthroscopic tendon release: This involves using a scope to visualize the affected tendon and release it through small incisions (12). 

Each type of tendon release has its advantages and disadvantages, and the choice of procedure depends on the individual patient’s needs and the surgeon’s preference (13). For example, open tendon release may be more suitable for larger tendons, while percutaneous tendon release may be more suitable for smaller tendons. 

Recovery and the Use of Orthotics During the Recovery Process 

During the recovery period, patients may need to wear a splint or cast to protect the affected limb (16). They may also need to undergo physical therapy to improve their range of motion and strength (17). 

After tendon release surgery, orthotics and splints play a crucial role in the rehabilitation process. These devices help to protect the affected tendon, promote healing, and improve functional outcomes (1). Immobilization splints are used to immobilize the affected limb, allowing the tendon to heal, typically for 2-6 weeks post-surgery (2).  

Range of motion allows for controlled movement of the affected joint, encouraging gentle stretching and strengthening of the tendon. Functional splints enable patients to perform daily activities while protecting the affected tendon. 

The benefits of orthotics and splints include protection of the affected tendon from further injury or strain which helps in promoting a conducive environment for healing as well as improving functional outcomes (1). A study published in the Journal of Hand Surgery found that patients who used a percutaneous tendon release splint post-surgery had improved functional outcomes compared to those who did not use a splint (3).  

Another study published in the Journal of Foot and Ankle Surgery found that immobilization splints used post Achilles tendon release surgery reduced the risk of re-rupture. 

Orthotics and splints are essential components of post-tendon release rehabilitation. By protecting the affected tendon, promoting healing, and improving functional outcomes, these devices play a crucial role in ensuring successful rehabilitation. Patients should work closely with their healthcare provider to determine the most appropriate orthotic or splint for their specific needs. 

The recovery time for tendon release varies depending on the type of procedure and the individual’s overall health (14). Generally, patients can expect to spend several weeks or even months recovering from the procedure (15). It should be expected that full function and range of motion will take time to come back. Stretching and increasing range of motion are encouraged.  

Restrictions After Tendon Release 

After tendon release, patients may be restricted from certain activities such as heavy lifting, bending, or strenuous exercise (18). Patients may also be required to wear the above-listed orthotics to protect the affected limb during recovery (19). 

It will be imperative for the patient to avoid certain activities that may put stress on the affected tendon, such as running and or jumping (20). They will likely need to modify their daily activities to avoid putting strain on the affected limb. 

Conclusion

Tendon release surgery is a complex procedure that requires a comprehensive understanding of the underlying problem, surgical techniques, and post-operative rehabilitation tools used by surgeons. By examining the various aspects of tendon release, including the types of procedures, recovery times, and orthotics and splints used, the clinician can begin to gain a bigger picture of the entire process thereby leading to the best possible patient outcomes. 

Ultimately, an approach that incorporates the expertise of an orthopedic surgeon, as well as the desired outcome from the patient, is essential for achieving optimal outcomes and restoring normal function to patients undergoing tendon-release surgery. 

With greater understanding comes an awareness of the importance of taking a progressive approach in the field of tendon release surgery. By exploring new techniques, technologies, and rehabilitation tools, we can improve patient outcomes, reduce recovery times, and enhance the overall satisfaction and quality of life for individuals undergoing this procedure. Through ongoing research, collaboration, and innovation, we can see the full potential of tendon-release surgery and provide the best possible care for our patients in the future. 

➁ Complete Survey

Give us your thoughts and feedback

➂ Click Complete

To receive your certificate