peesherstel

Peesherstel is a term used in Dutch-speaking medical literature to describe interventions aimed at restoring the structure and function of a tendon after injury or degenerative disease. The word combines 'pees' (tendon) and 'herstel' (repair or restoration). In clinical practice, peesherstel encompasses nonoperative and operative strategies designed to reestablish tendon continuity, strength and mobility. The choice of approach depends on the specific tendon, the severity and chronicity of the lesion, patient age and activity level, and comorbidities.

Common indications include acute tendon ruptures such as the Achilles, biceps, or rotator cuff, as well as chronic tendinopathies with functional impairment. Nonoperative treatment may involve immobilization and progressive physical therapy. Operative repair aims to reattach torn ends, re-anchor to bone, or reconstruct the tendon using grafts or scaffolds. Techniques include direct end-to-end suturing, suture anchors, tendon-to-bone fixation, and reconstruction with autograft or allograft when tissue quality is poor.

Postoperative rehabilitation typically combines initial immobilization with gradual controlled motion, followed by strengthening and functional training. Return-to-activity timelines vary by tendon and patient but commonly span several months. Complications can include infection, stiffness, re-rupture, graft failure, or reduced elasticity. Outcomes are generally favorable with timely repair and structured rehabilitation, though results depend on tendon type, rupture size, chronicity, and patient factors.