Hand Tendon Repair: Your Journey from Preparation to Full Recovery
In the week leading up to your hand tendon repair surgery, your surgeon will advise you to stop taking certain medications, particularly blood thinners, to reduce the risk of excessive bleeding during the procedure. Prepare your home for your return by setting up a recovery area with easy access to essentials. Some hospitals offer pre-operative classes to familiarize you with the procedure and recovery process. Continue any prescribed hand exercises to maintain flexibility and strength in your unaffected fingers.
The night before surgery, follow your surgeon's instructions regarding fasting. Typically, you'll need to stop eating and drinking after midnight (NPO - nil per os). This precaution helps prevent complications during anesthesia. Take a shower using antibacterial soap as directed to reduce the risk of infection. Get a good night's sleep to help your body prepare for the procedure. Set out loose-fitting clothes for the next day, ensuring easy access for your bandaged hand.
On the morning of your surgery, arrive at the hospital or surgical center at the designated time. You'll undergo a preoperative assessment, including a review of your medical history and a check of your vital signs. X-rays may be taken to check for any glass fragments or other damage. The surgical site will be marked, and you'll meet with your anesthesiologist to discuss the anesthetic options. Hand tendon repair is typically performed under regional or general anesthesia and can take anywhere from 30 minutes to several hours, depending on the complexity of the injury.
Immediately after the surgery, you'll be moved to a recovery area. Your hand will be bandaged and placed in a rigid splint to protect the repaired tendon. You may experience some pain or soreness as the anesthetic wears off. Pain management will begin right away to keep you comfortable. Most patients can go home on the same day, once the effects of anesthesia have worn off. Before discharge, you'll receive instructions on caring for your incision, managing pain at home, and the importance of keeping your hand elevated to reduce swelling.
Unlike some orthopedic surgeries, hand tendon repair doesn't typically involve weight-bearing restrictions. However, it's critical to avoid any use of the affected hand that could strain the repaired tendon. Your surgeon will provide specific guidelines on when you can begin gentle movements and gradually increase hand use. Generally, you should avoid gripping, lifting, or putting any stress on the repaired tendon for the first 3-6 weeks after surgery.
The first week after surgery focuses on rest, pain management, and protecting the repaired tendon. Keep your hand elevated above heart level to reduce swelling. The splint must be worn at all times to prevent strain on the repaired tendon. You may experience some pain and swelling, which can be managed with prescribed pain medication and ice packs. It's crucial to follow your surgeon's instructions carefully during this time to avoid complications. You'll likely need assistance with daily activities, as you'll be unable to use the affected hand.
Occupational therapy should start 1-3 days after surgery. Your first postoperative appointment with the surgeon usually occurs about 1-2 weeks after surgery. During this visit, your surgeon will check your incision healing and assess the initial stages of tendon healing. They may begin to outline a plan for hand therapy, which is crucial for optimal recovery. This appointment is an excellent opportunity to ask questions about your recovery progress and discuss the next steps in your rehabilitation. Your surgeon may adjust your splint or provide a new one at this time.
Moderate activity recovery typically begins around 6-8 weeks after surgery, depending on your specific case and progress. By this time, you may be able to resume light activities and potentially return to work if your job doesn't involve heavy use of the affected hand. Your hand therapist will guide you through exercises to improve strength and flexibility. It's important to follow their instructions carefully and not push too hard too fast. If you experience increased pain or swelling, it's a sign to slow down and consult your healthcare provider
Full recovery from zone 2 flexor tendon repair can take 3-12 months, with some patients continuing to see improvements for up to a year. The repaired tendon usually regains full strength around 12 weeks post-surgery. However, regaining full range of motion can take longer and may require dedicated effort with hand therapy exercises. Most patients can resume heavy activities and sports after 3-5 months, but this can vary based on individual healing and the specific tendon repaired. It's important to maintain consistent communication with your surgeon and hand therapist throughout the recovery process to ensure the best possible outcome