MedClinic > Blog > Traumatology > Tendon Repair Surgery


Tendon repair is a surgery to restore tendons after their injury and stitching of torn muscles. Indications for the operation – tendon injuries and muscle rupture due to excessive physical exertion, strong muscle strain or mechanical injury.

The price of tendon repair depends on the severity of the case and the extent of the injury. Tendon plastic surgery is also performed for chronic injuries that were not cured on time and led to complications.

Tendon repair is performed in several ways. Which method of operation will be chosen is decided only by the attending physician, depending on the severity of the case, and on which particular tendon was damaged. For example, repair of the tendons of foot implies the application of a longitudinal suture, which cannot be applied in case of repair of the tendons of the hand.

The simplest operation is plastic surgery of the tendons of the backside of the upper limb. The most difficult to perform is the flexor tendon repair, since there is a large accumulation of nerve endings and blood vessels in this place, and there is also a high risk of injury.

Tendon repair surgery can be performed using two methods:

  • open type;
  • percutaneously.

The method of operation depends on the size of tendon. Biceps tendon repair surgery can be performed in both open and transdermal methods, depending on the extent of the injury, finger extensor tendon repair surgery is performed only by percutaneous technique to minimize the risks of damage to adjacent soft tissues, muscles and blood vessels.

Tendon repair with simultaneous muscle suturing is performed for extensive injuries, which are most often found in professional athletes or elderly people, tendon and muscle rupture is associated with their weakening.


Despite the difficulties of performing tendon repair surgery, open and percutaneous surgery is successful in most cases. To ensure a favorable outcome of the operation, a patient must follow all the doctor’s recommendations during the rehabilitation period.

High-quality stitching of torn muscles and tendons is only half the success, the correct implementation of physiotherapeutic procedures to restore motor function of the operated tendons and muscles plays an important role as well.

Possible risks

When stitching broken muscles and tendons, there are risks of complications caused by the individual characteristics of a patient, structure of muscles and tendons. During the operation, there is a chance of infection, although this pathology is rare in the work of qualified surgeons.

After the operation, the starting of internal bleeding is possible, it occurs due to intolerance by the patient of certain drugs used during the operation and the rehabilitation period.

With open operations on tendons and muscles, there is a chance to hurt a nerve ending, although if a highly qualified surgeon operates, this risk is reduced. In elderly people and athletes after surgery for tendon repair, there is a risk of re-injuring. In elderly people, this is associated with weakening and loss of muscle elasticity, in athletes – with excessive physical load.

With extensive injuries to the tendons and muscles that led to damage to the blood vessels and nerve endings, mobility of the operated limb may be impaired.