Biceps Tendon Repair Or Reattachment
A Surgical Procedure to Restore Strength and Function After a Biceps Tendon Tear
Biceps tendon repair involves reattaching the torn or detached biceps tendon to its original location in the elbow. In cases where the tendon is partially torn, repair may involve suturing the tendon to restore its strength and function.
Common Reasons for Surgery
- Complete rupture of the biceps tendon at the elbow.
- Persistent pain or weakness in the arm affecting daily activities.
- Difficulty in rotating the forearm or lifting heavy objects.
- Failure of non-surgical treatments, such as physiotherapy or medications, to relieve symptoms.
Goals of the Procedure:
- Relieve pain caused by tendon injury.
- Restore arm strength and range of motion.
Improve the ability to perform activities involving arm rotation or lifting.
Preparation for Surgery
Proper preparation can contribute to better surgical outcomes and a smoother recovery.
Steps in Preparation:
- Pre-Surgical Assessments:
- Dr Ben McGrath will conduct a thorough examination and may recommend imaging, such as X-rays or an MRI, to confirm the extent of the tendon damage.
- Pre-Operative Instructions:
- Patients may be advised to fast for several hours before surgery.
- Certain medications, such as blood thinners, might need to be paused.
- Lifestyle Changes:
- Avoid smoking to improve healing potential.
- Engage in light arm-strengthening exercises as recommended by a physiotherapist.
What Happens During the Surgery?
Biceps tendon repair is typically performed as an outpatient procedure and can be done through minimally invasive techniques or open surgery.
Surgical Steps:
- Anaesthesia:
- The procedure is performed under general or regional anaesthesia.
- Repair or Reattachment:
- For complete tears, the torn tendon is reattached to the bone using sutures and anchors.
- For partial tears, the damaged portion of the tendon may be repaired and reinforced.
- Incision Closure:
- The surgical site is closed with sutures or staples and covered with a sterile dressing.
- Duration:
- The procedure generally lasts 1–2 hours, depending on the complexity.
Understanding the Risks
As with any surgical procedure, there are potential risks involved.
Common Risks:
- Temporary swelling or bruising around the surgical site.
- Stiffness in the elbow during the initial recovery period.
Rare but Serious Risks:
- Infection at the incision site.
- Nerve or blood vessel damage near the elbow.
- Incomplete restoration of strength or function.
Dr McGrath will discuss these risks with you and outline measures to minimise them.
What to Expect After Surgery
Immediate Post-Operative Care:
- Pain relief through prescribed medications and the use of ice packs.
- The elbow may be immobilised in a sling or brace to protect the repair.
Discharge Instructions:
- Keep the surgical site dry and follow wound care guidelines.
- Avoid lifting or straining the arm during the initial recovery phase.
Rehabilitation and Recovery
A structured rehabilitation program is essential for optimal recovery.
Recovery Timeline:
- Weeks 1–6:
- The arm is supported in a sling or brace, and light physiotherapy focuses on maintaining range of motion.
- Weeks 6–12:
- Gradual strengthening exercises are introduced under the guidance of a physiotherapist.
- Months 3–6:
- Progressive return to normal activities, including light lifting or sports, as tolerated.
Restrictions During Recovery:
- Avoid heavy lifting or repetitive arm motions during the healing process.
- Follow all activity guidelines provided by Dr McGrath.
Long-Term Outcomes
Biceps tendon repair or reattachment aims to restore strength and function in the arm.
Expected Improvements:
- Relief from pain and improved elbow and forearm strength.
- Enhanced ability to perform daily tasks and physical activities.
- Improved range of motion in the arm and elbow.
Maintenance of Results:
- Regular follow-up appointments to monitor healing.
- Ongoing physiotherapy or exercise to maintain arm strength.
- Avoiding activities that could re-injure the tendon.