CONDITIONS TREATED

Ligaments, tendons and nerves surgery

If you have symptoms of Mallet finger, muscle, ligament and tendon injuries, Dr. Durand offers effective treatments to release your condition.

ProcedureLigaments, tendons and nerves surgery

PROCEDURE

For severe injuries, prompt surgical intervention can help in the repair and reconstruction of the damaged ligaments. Post-surgery care is very important to ensure the best outcome. Priority should be placed on patient’s comfort, along with rehabilitative hand therapy to maximize functional recovery.

A hand specialist like Dr. Daniel Durand who sees the patient on a daily basis, can accurately determine the cause of local pain and suggest effective treatment to your individual condition.

Tendon repair is surgery done to treat a torn or otherwise damaged tendon. Tendons are the soft, band-like tissues that connect muscles to bone. When the muscles contract, the tendons pull the bones and cause the joints to move.

When tendon damage occurs, movement may be seriously limited. The damaged area may feel weak or painful.

Tendon repair surgery may be helpful for people who have tendon injuries that are making it difficult for them to move a joint or are very painful.

When hand surgery to repair the torn ligament is necessary, it’s often done arthroscopically. Arthroscopic surgery for a scapholunate repair uses very small incisions and causes less trauma to the tissue than conventional surgery. Surgical repair may include debriding the torn ligament—which involves cleaning up the damaged ligament tissue so new, healthy tissue can grow—or, in severe cases, repairing the tear with sutures anchored to the bone. This may also necessitate realigning the bones and anchoring them in place with pins so they don’t pull the healing ligament apart. Surgical repairs may take several weeks in a cast or splint to ensure the return of proper wrist function following surgery.

Dr. Durand offers the latest treatment options available for patients with nerve injuries. Surgical treatment is decided on a case-by-case basis, and depends on the location, duration, and type of nerve injury.

The goal of surgery is to improve function of the affected area in the upper extremity. If the nerve is thought to be repairable, surgical treatment may consist of:

  • Nerve decompression
  • Nerve repair
  • Nerve graft

If nerve repair is not an option, a tendon transfer may be recommended. Tendon transfers borrow extra tendons from other parts of the hand or forearm to perform a function that is lost due to the nerve injury. The tendon chosen so the patient does not have loss of function with use of the donor tendon.

HOW IS IT DONE

Generally, during tendon, ligament or nerve repair Dr. Durand will:

  1. Make one or more small incisions (cuts) in the skin over the damaged tendon, nerve or ligament
  2. Sew the torn ends of the tendon together
  3. Check the surrounding tissue to make sure no other injuries have occurred, such as injury to the blood vessels or nerves
  4. Close the incision
  5. Cover the area with sterile bandages or dressings
  6. Immobilize or splint the joint so as to allow the tendon to heal

If there isn’t enough healthy tendon or nerve to reconnect, Dr. Durand may perform a tendon graft using a piece of tendon from another part of the body. It may be from the foot or toe, for example. On occasion, a tendon transfer (moving a tendon from one area to another) may be useful in restoring function.

IF YOU ARE CONSIDERING TREATMENT FOR LEGAMENT OR TENDON INJURY, DR. DANIEL DURAND WILL GUIDE YOU, FROM CONSULTATION TO RECOVERY, TO THE BEST LEGAMENT AND TENDON REPAIR PROCEDURES FOR YOUR INDIVIDUAL NEEDS.

POTENTIAL RISKS AND COMPLICATIONS

Risks associated with tendon repair include:

  • Scar tissue, which may form and prevent the joints from moving smoothly
  • Some loss of joint use
  • Stiffness of the joint
  • Re-tearing of the tendon

Risks for anesthesia include reaction to medication such as difficulty breathing, rash, or itching. Risks for surgery in general include bleeding and infection.

RESULTS

As a general rule, the sooner tendon repair surgery is done after the injury, the easier the surgery is and the easier the recovery. Recovery times can range from a few short weeks up to 12 weeks for severe tendon or ligament damage.

In some cases, long-term complications may develop. Stiffness may be long-lasting. Some tendon injuries, such as injuries to the flexor tendon in the arm, can be very difficult to repair.

Before surgery, discuss potential outcomes with Dr. Durand so that you have a realistic view of your individual outlook.

CONTACT US ONLINE TODAY TO LEARN MORE ABOUT LEGAMENT AND TENDON REPAIR PROCEDURES.
DR. DANIEL DURAND HELPS MEN AND WOMEN FROM MONTREAL AREA TO ENJOY A PAIN-FREE LIFE AGAIN THROUGH THESE PROCEDURES.

GETTING BACK TO THE LIFE YOU LOVE STARTS WITH DETERMINING THE CAUSE OF YOUR DISCOMFORT.

Dr. Durand will take the time to carefully outline the various options available to you along with the benefits and risks associated with each procedure during your comprehensive one-on-one consultation.

If you are coming outside the province – please feel free to schedule a phone or online consultation to assess your needs! We welcome patients across entire Canada and all provinces.

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