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Elbow & Wrist

Extensor Tendon Debridement and Repair

Extensor tendons, situated on the back of the hand, are crucial for straightening the fingers and thumb. The extensor tendons are superficial, close to the skin’s surface, and susceptible to injury including cuts, burns and blunt trauma. If injured the affected finger(s) may be unable to be straightened. Treatment of injuries to the extensor tendons in the hand depend on the complexity of the injury. The goal of debridement and repair is to restore tendon structure and function to reestablish motion in the injured finger(s).

Extensor tendon debridement and repair is a surgical procedure focused on treating damaged extensor tendons in the hand.

  1. Debridement: This is the procedure to remove damaged, frayed and dying tissues. This is crucial to promote better healing and reduce the risk of infection.
  2. Repair:
  3. If the tendon is partially lacerated, it may be repaired with sutures.
  4. In cases of complete rupture or significant damage, the tendon may need to be reattached to the bone, or a tendon graft may be used.
  5. The method of repair depends on the extent of the injury.
  6. Once repaired, the incision is closed with sutures.

After surgery the hand is immobilized in a splint or caste to protect the repair. Physical therapy is vital to regain strength and flexibility.

  • Lacerations or trauma to the hand that damage the extensor tendons.
  • Chronic conditions such as arthritis that may cause tendon degeneration.
  • Infections or inflammatory conditions that affect the extensor tendons.

Extensor tendon debridement and repair is a specialized procedure, and the outcome largely depends on the extent of the tendon injury, the patient’s overall health, and adherence to rehabilitation protocols.

Schedule an orthopaedic consultation

At Silicon Valley Orthopedics, we treat athletes and non-athletes alike with cutting edge techniques and procedures as well as nonsurgical options that will help healing when time and patience are in order. Contact us to schedule a consultation at one of our offices in Fremont, Los Gatos or Menlo Park. We strive to provide all of our patients with world-class compassionate and personalized orthopedic care aimed at your specific needs.