Tendonectomy

Tendonectomy is a surgical procedure involving the cutting or removal of a tendon, the fibrous connective tissue that attaches muscle to bone. This operation is less common than other tendon-related surgeries, such as tendon repair or tenotomy, and is typically considered only when other treatments have failed to relieve symptoms or in specific medical conditions that affect tendon function.

Indications

Tendonectomy may be indicated for various medical conditions, including severe tendinopathy or tendon injuries that have not responded to conservative treatments like physical therapy, medication, or less invasive surgical procedures. It may also be considered in cases of degenerative diseases affecting the tendons, where the tendon's structure is significantly compromised.

Procedure

The specific technique used during a tendonectomy depends on the tendon involved and the underlying reason for the surgery. Generally, the procedure involves the surgeon making an incision over the affected tendon, followed by the careful removal or cutting of the damaged or diseased portion of the tendon. The goal is to relieve pain and restore function, although the outcome can vary depending on the severity of the condition being treated and the patient's overall health.

Risks and Complications

As with any surgical procedure, tendonectomy carries risks, including infection, bleeding, and the potential for nerve damage or incomplete relief of symptoms. There is also a risk of reduced strength or flexibility in the affected limb or joint, given the tendon's role in movement and stability.

Recovery

Recovery from a tendonectomy involves a period of rest, followed by physical therapy to restore movement and strength. The duration of recovery varies widely among patients, depending on the specific tendon involved and the extent of the surgery. Adherence to a rehabilitation program is crucial for achieving the best possible outcome.

Alternatives

Before considering a tendonectomy, less invasive treatments are typically explored. These may include rest, physical therapy, corticosteroid injections, and other surgical procedures like tendon repair or tenotomy. The choice of treatment depends on the individual's specific condition, overall health, and treatment goals.