How long do you wear a splint after tendon surgery?

You’ll usually be advised to wear the splint at all times for 3 to 6 weeks, possibly followed by just wearing it at night for a further couple of weeks. Your hand therapist will tell you how to look after your splint and what to do if you develop any problems with it.

What splint is used for a flexor tendon injury?

Splinting for a tendon injury in this area may include the wrist and part of the finger. Dynamic splinting, which is a splint with slings that allows some finger motion, may be used for injuries of this kind. The dynamic splint allows early movement and protects that healing tendon.

How do you straighten your fingers after tendon surgery?

Straighten your fingers to the splint without help from your uninjured hand. Keeping your fingers relaxed at all times – start with a straight wrist and gently allow your wrist it to relax forward (your fingers with straighten naturally). Then gently move your wrist backwards (your fingers will bend naturally).

How long does it take for tendon repair to heal?

Healing can take up to 12 weeks. The injured tendon may need to be supported with a splint or cast to take tension off of the repaired tendon. Physical therapy or occupational therapy is usually necessary to return movement in a safe manner. Expect movement to return gradually, with some stiffness.

How painful is tendon repair surgery?

After surgery, the hand may be bruised and swollen, and you will most likely experience pain as the anesthetic wears off. The repaired tendons are going to be very weak until completely healed which can make recovery a lengthy process. Depending on the location recovery may take anywhere from 1 to 3 months.

Do finger tendons grow back?

The repaired tendon will usually be back to full strength after about 12 weeks, but it can take up to 6 months to regain the full range of movement. In some cases, it may never be possible to move the affected finger or thumb as much as before it was damaged.

What does it mean if I can’t bend my finger?

Trigger finger is also known as stenosing tenosynovitis (stuh-NO-sing ten-o-sin-o-VIE-tis). It occurs when inflammation narrows the space within the sheath that surrounds the tendon in the affected finger. If trigger finger is severe, your finger may become locked in a bent position.

Where is the FDP tendon?

Flexor digitorum profundus (FDP) tendons They run down the forearm and within the carpal tunnel. The four tendons glide in sheaths along the hand and fingers and insert into the fingertip bone. These tendons run closer to the bone compared to the rest of the flexors in the hand and fingers.

What is the FDP flexor tendon repair protocol?

Zone 1, FDP Flexor Tendon Repair Protocol WeekSplint Therapeutic Exercise PrecautionsOther 3 weeks Bring wrist to neutral in dorsal blocking splint. Discard DIP flexion splint. Add place/hold fisting in all three fist positions, using minimal tension. Continue with all previous exercises. (Patient may perform all exercises at home).

What is the treatment for flexor flexor tendon injuries?

Treatment is usually direct end-to-end tendon repair. Zone is unique in that FDP and FDS in same tendon sheath (both can be injured within the flexor retinaculum). Tendons can retract if vincula are disrupted.

How is fibromuscular outlet prolapse (FPL) repaired?

Direct end-to-end repair of FPL is advocated. Try to avoid Zone III to avoid injury to the recurrent motor branch of the median nerve. Oblique pulley is more important than the A1 pulley; however both may be incised if necessary. Attempt to leave one pulley intact to prevent bowstringing

How much lidocaine do you give for flexor tendon repair?

Wide-awake flexor tendon repair anesthesia performed under tumescent local anesthesia using lidocaine with epinephrine dosing usually epinephrine 1:100,000 and 7mg/kg lidocaine. from 1:400,000 to 1:1000 is safe. if < 50cc is needed 1% lidocaine with 1:100,000 epi for a 70kg person.