Tendon injuries of lower limbs are common due to road traffic accidents, direct trauma etc.
Patient will be unable to move the foot, toes and joints depending upon the level of injury
During the splintage period patient would be asked to do gentle exercise of the affected limb inside the splint under supervision then after 4-6 weeks off splint exercise will be taught to the patient. Splint will be removed after 6-8 weeks time with increasing resistance exercises and weight bearing under
supervision till the muscle power gain and normal movements achieved and patient can weight bear and walk easily.
If the tendons are transected(cut) at any level then it needs to be repaired primarily depending on the condition of wound and soft tissue cover.
If there is a segment loss or gap in the ends of tendon then a tendon graft can bridge the gap taken from various donor tendons available. The above procedures are done under general anesthesia so need to get admitted for at least 2-3 days and will be followed up as outpatient. After the procedure there will be a splintage applied to the affected limb for at least 4-6 weeks in order
to prevent rupture of the repair due to forceful movements of the limb.
Major ones are
tendon rupture at repair site,
joint stiffness,
loosening of repair,
tightening of repair causing deformity etc
Outcome depends on the location and size of the fistula and status of surrounding tissues. Although most of the fistula closes after the surgery, some may recur and requires further surgery.
It usually takes less time than the original hypospadias repair and completes in less than an hour.
The surgery is performed under general anaesthesia and as a day care procedure. Patient can go home the same day after recovery from anaesthesia.
The most common complication is recurrence of the defect. Others complications include infection, difficulty in urination and stricture formation
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