tendontransfer

Tendontransfer is a surgical procedure that involves relocating a tendon from its original insertion point to a new one. This is typically done to restore function to a limb that has lost muscle strength or range of motion due to injury, disease, or congenital conditions. The goal of a tendontransfer is to harness the power of an intact and functional muscle to compensate for a weakened or paralyzed one.

The procedure works by rerouting the tendon of a healthy muscle, often one with a less critical role, to attach to the bone where the damaged or missing tendon was originally located. This allows the surgeon to utilize the existing strength of the donor muscle to perform the movement that was previously lost. For example, in cases of nerve damage affecting hand muscles, a tendontransfer might involve using a tendon from a forearm muscle to reinnervate a finger that can no longer be extended.

Tendontransfer surgery is a complex procedure that requires careful planning and execution by a specialized surgeon. The success of the surgery depends on factors such as the health of the donor muscle, the precision of the tendon reattachment, and the patient's subsequent rehabilitation. Post-operative physical therapy is crucial for regaining strength, coordination, and optimal function of the transferred tendon. This therapy helps the patient learn to control the new muscle action and integrate it into their daily activities. The recovery period can be extensive, but for many patients, tendontransfer offers a significant improvement in limb function and quality of life.