Tendon lengthening?

summary

Tendon lengthening is also called partial tendon rupture or tendon marginal incision. Because of the contractile force of the muscle itself, the incision will be opened to lengthen the muscle, so as to weaken the muscle strength. There are many methods for tendon lengthening, but the most effective and commonly used methods are as follows: (1) 80% of the width of each muscle is cut off on both sides of the tendon or anterior muscle; ② Both sides of the tendon correspond to 40% of the width of each cut muscle; ③ 80% of the width of the broken tendon in the central part; ④ L-shaped overlapping incision was performed on both sides of tendon. The advantage of this operation is that there is no need for eye muscle suture, and it is easy to operate. Now let's talk about tendon lengthening?

Tendon lengthening?

1. The patients who were not corrected enough after rectus recession. It can be performed simultaneously with rectus recession, and it is suitable for patients with higher inclination. The patient's eye had undergone retinal detachment surgery. This time, it was necessary to weaken the muscle, but there was implant or cerclage at the new attachment point. When the sclera is too thin, it is difficult to fix and suture the new attachment point of the retreating muscle, and it is easy to pass through the sclera. The slope is smaller.

2. The main problems after tendon repair are tendon adhesion, scar, joint stiffness and insufficient muscle strength and grip strength. The postoperative treatment is briefly introduced: to 5 years old, can do tendon repair.

3. The treatment of scar, tendon and soft tissue adhesion when hand trauma, soft tissue including skin, subcutaneous tissue, tendon synovium and tendon itself may be injured at the same time, combined with surgical trauma, scar formation more. If no swelling control measures are taken in the early postoperative period, the exudate will aggravate the adhesion of tendon and other soft tissues. If in the early postoperative period, on the premise of protecting tendon healing, the use of cryotherapy and magnetic therapy can help to reduce swelling. After 3 weeks of wound healing, ultrasonic therapy can be used to facilitate the arrangement of collagen fibers in the healing process and reduce the density of scar aggregation. Five weeks after operation, we can use rubbing massage, audio frequency, wax therapy and silicone glue to soften hypertrophic and adhesive scars.

matters needing attention

1. Change the dressing on the second day after operation, and topically drip antibiotic eye drops and ointment until 3-4 weeks after operation. 2. Drop eye drops on time. Wash hands before taking eye drops. Do not touch eyes and hands to avoid contamination. 3. Eye rotation should be reduced as much as possible within 2 weeks after operation. It is strictly forbidden to collide, press, lower the head and rub the eyes with external force. When sleeping, you should lie flat or lie to the side of the non operating eye to prevent eye injury. When washing face, hair and bath, pay attention not to let the sewage into the operation eyes. 4. Avoid reading books, newspapers and computer TV for a long time 2 weeks after operation. 5. Go to the hospital for reexamination according to the doctor's advice after operation. In case of diplopia or severe eye pain, please inform the doctor immediately for treatment. Diet should pay attention to balanced nutrition intake, avoid alcohol and tobacco and spicy food.