Tenodesis

Tenodesis (lat. tenodesis, from ancient Greek τένος - tendon and lat. desis - to bind) is a surgical operation that involves fixing a tendon to a bony protrusion or to a bone in the joint area.

Tenodesis is used to strengthen the tendon when it is damaged, for chronic tendinitis, and also in the treatment of certain diseases of the musculoskeletal system.

Tenodesis surgery can be performed on any joint in the human body, but is most commonly performed on the knee joint.

One of the indications for tenodesis is injury to the quadriceps tendon. In this case, the operation can be performed on both the anterior and posterolateral surfaces of the knee joint.

Despite the fact that tenodesis is a fairly common operation, it is not without some disadvantages.

First, tenodesis can lead to reduced joint mobility because fixation of the tendon limits its mobility.

In addition, the operation may cause pain and discomfort after it is performed.

However, despite these disadvantages, tenodesis remains one of the most effective methods for treating tendon injuries and musculoskeletal diseases.

"Tenodesis"

Description of the problem

“Tenodesis” is usually called an operation consisting of strengthening, fixing or stabilizing any teno or fascial (perimuscular) layer in a certain position, which under normal conditions (that is, if the person does not have pathological deformities or joint diseases) is not attached to the hard (bony) part of the bone and is either free floating or slightly attached at the base of the movable bone.

This method, which has become widespread in traumatology, orthopedics and a number of other specializations, is currently an integral part of the surgical treatment of a number of severe orthopedic or orthopedic-traumatological diseases. Most often, this method is used to treat injuries and diseases of the cervical spine, complicated by lesions and deformations of the articular-ligamentous apparatus, as well as for some diseases of the humerus and abductor muscles. In other words, “tenodeses” are performed for myofascial syndromes of the lower back and shoulder girdle, for anomalies in the development of the neck of the scapula, for damage to the ligamentous-articular apparatus associated with the scalp process of the scapula (its clinical name is the clavicle) and its articulation with the processes of the neck of the scapula. In addition, this type of operation can be prescribed for tuberculous spondylitis and degenerative-dystrophic lesions of the spine.

As clinical practice shows, the successful implementation of the tenodesis operation, that is, the reduction of pain and restoration, at least partial, of the mobility of the affected segment of the spine or joint, depends on many factors, for example, the age of the patient, the severity of concomitant pathology, and the choice of the type of surgical intervention itself. . In addition, the choice of clinic, the equipment of the operating unit and the professional level of the surgeon have a positive impact. Based on this, it should be noted that the achieved results may vary significantly even among patients who underwent the same type of surgical intervention in the same medical institution.