What is Tendon Release?
Tendon release, also known as a tendonotomy, is a surgical procedure aimed at relieving tension in a tendon to improve mobility or reduce pain. This procedure is often used to treat conditions like
contractures,
spasticity, and severe cases of
tendonitis. During tendon release, the surgeon makes small incisions to lengthen the tendon, which allows for better range of motion and decreased discomfort.
When is Tendon Release Indicated?
Tendon release is generally indicated when conservative treatments like physical therapy, medications, or
assistive devices fail to alleviate symptoms. Common conditions that may necessitate tendon release include
cerebral palsy,
stroke-related spasticity, and severe
arthritis. The decision to perform tendon release is made based on a thorough assessment, including imaging studies and clinical evaluation.
Preoperative Nursing Care
Nurses play a crucial role in the preoperative phase. This includes educating the patient about the procedure, obtaining informed consent, and conducting preoperative assessments. Nurses should also ensure that the patient is well-nourished, hydrated, and free from infections. Preoperative teaching about postoperative expectations and pain management strategies is also essential to alleviate anxiety.Intraoperative Nursing Responsibilities
During the surgery, nurses assist the surgical team by maintaining a sterile environment, preparing surgical instruments, and monitoring the patient’s vital signs. They must be vigilant for any signs of complications such as bleeding or adverse reactions to anesthesia. Effective communication with the surgical team is vital to ensure that the procedure progresses smoothly.Postoperative Nursing Care
Postoperative care is critical for optimal recovery. Nurses should monitor for signs of complications such as infection, hematoma, or nerve damage. Pain management is a priority, and nurses may administer prescribed analgesics and educate patients on pain management techniques. Encouraging early mobilization and physical therapy can help in faster recovery and better functional outcomes.Rehabilitation and Physical Therapy
Rehabilitation is a key component of recovery from tendon release surgery. Nurses collaborate with physical therapists to develop a tailored rehabilitation plan. This may include range-of-motion exercises, strengthening exercises, and functional training to restore mobility and function. Nurses also provide emotional support and motivation to help patients adhere to their rehabilitation regimen.Patient Education and Discharge Planning
Before discharge, nurses educate patients and caregivers on wound care, signs of complications, and the importance of adhering to follow-up appointments. Providing written instructions and contact information for any questions or concerns is crucial. Education on assistive devices and modifications in daily activities can also help patients transition smoothly back to their routine.Conclusion
Tendon release is a significant intervention that requires comprehensive care from the nursing team. From preoperative preparation to postoperative care and rehabilitation, nurses play a pivotal role in ensuring positive outcomes. Through vigilant monitoring, effective pain management, and patient education, nurses contribute significantly to the recovery and well-being of patients undergoing tendon release surgery.
