What is the Difference Between Tenotomy and Tenodesis?

Introduction: Understanding Tendon Procedures

Tendon-related complications are not uncommon in patients with diabetes, especially those dealing with foot deformities, contractures, or non-healing wounds. In such cases, surgical procedures like tenotomy or tenodesis may be recommended to restore balance, reduce pressure points, and aid healing.

At a specialized diabetic foot care & wound care clinic, understanding the right surgical option is essential to preserve mobility and prevent further complications. This article explains the difference between tenotomy vs tenodesis, their indications, and recovery considerations.

What Is Tenotomy?

Tenotomy is a minimally invasive surgical procedure where a tendon is deliberately cut to relieve tension or correct deformities. It is often used in conditions involving contractures, tight tendons, or muscle imbalances.

A common type in diabetic foot management is flexor tenotomy, which involves cutting the flexor tendon in a toe to treat ulcers caused by claw toe deformities. This relieves pressure and helps heal chronic wounds on the toe tips.

Tenotomy Recovery Time

One of the major advantages is the quick healing period. Tenotomy recovery time is typically short, with most patients returning to daily activities within a week or two. Since it's often done under local anaesthesia, hospitalisation is minimal or not needed.



What Is Tenodesis?

Tenodesis is a surgical technique where a tendon is detached from its original attachment and reattached to a different location, typically a bone. This helps restore normal joint function and tendon alignment.

Unlike tenotomy, tenodesis maintains tendon tension and continuity, making it more suitable for patients where strength and control need to be preserved.

It is more commonly performed in shoulder, biceps, and ankle injuries but may be applied in select diabetic foot cases to correct deformity or instability.

Key Differences: Tenotomy vs. Tenodesis

Let's break down the key differences in tenodesis vs tenotomy:

Feature Tenotomy Tenodesis
Definition Cutting the tendon Repositioning and reattaching the tendon
Goal Release tension or correct deformity Preserve strength and restore alignment
Recovery Faster healing, less invasive Longer recovery, more complex
Use in Diabetic Foot Common in flexor tenotomy for ulcers Less common but used in selected cases
Procedure Type Often out-patient May require general anaesthesia and a surgical setting

Understanding tenodesis versus tenotomy helps patients and healthcare providers make informed decisions depending on the goal of the procedure.

When Are These Procedures Recommended?

In the context of diabetic foot conditions, these procedures may be recommended when:

  • There's a non-healing ulcer caused by pressure due to toe deformity
  • Conservative wound care has failed
  • The patient has claw toes or hammer toes, affecting foot function
  • Deformity correction is essential to offload pressure areas

Flexor tenotomy, in particular, is highly effective in preventing the recurrence of ulcers in neuropathic diabetic feet.

The pros and cons of tenotomy include its simplicity and speed, but it may slightly reduce tendon strength. On the other hand, tenodesis offers anatomical correction but involves more recovery and potential complications.

Consulting a Specialist

Choosing between tenodesis versus tenotomy should not be a rushed decision. Consulting a diabetic foot care & wound care clinic with orthopedic expertise is essential. A podiatric or orthopedic surgeon will evaluate:

  • The type and severity of deformity
  • Risk of wound recurrence
  • Your walking pattern and gait
  • Overall health and blood sugar control

A tailored approach helps reduce foot complications and improves long-term mobility.

Conclusion

Both tenotomy and tenodesis are valuable tendon procedures, but they serve different purposes. If you're dealing with chronic toe ulcers, deformities, or gait issues due to diabetes, understanding the difference between tenodesis vs tenotomy is key to choosing the right path.

At our Diabetic Foot Care & Wound Care Clinic in Surat, we offer advanced tendon correction surgeries like flexor tenotomy with a focus on healing, functionality, and limb preservation. Speak to our specialists today to explore the best solution for your feet.

Comments

Post a Comment

Popular posts from this blog

The Critical Importance of Diabetic Foot Care: A Guide by Dr. Ashutosh Shah

Image
Diabetes affects millions globally, with one of the most concerning complications being the health of one's feet. Dr Ashutosh Shah , a leading expert in diabetic foot care and a board-certified Plastic & Cosmetic Surgeon shares vital insights into the reasons behind the development of diabetic foot conditions and the paramount importance of preventative care. Understanding Diabetic Foot Risks Diabetic foot conditions stem from two primary diabetes complications: neuropathy and poor circulation. These issues lead to a higher risk of infections, ulcers, and in severe cases, the need for amputation. Dr. Shah emphasizes, "Preventative foot care in diabetes is not just a recommendation; it's a necessity." Learn more about Why Diabetic Foot Care Is Essential ? The Importance of Regular Foot Checks Routine examinations of the feet can uncover potential problems early on, significantly reducing the risk of complications. "Regular foot checks are your first line of de...
Read more

Comprehensive Guide to Neurosensory Examination for Diabetic Neuropathy

Image
  Neurosensory examination is a cornerstone in the diagnosis and management of diabetic neuropathy , one of the most common yet under-recognised complications of diabetes. This condition affects up to 50% of long-standing diabetics and is a major contributor to foot ulcers, infections, and lower limb amputations . A structured neurological assessment is essential to detect early sensory changes, assess the severity of nerve involvement, and implement timely interventions. The purpose of neurological assessment is not only to detect the presence of neuropathy but also to guide treatment, prevent complications, and monitor disease progression. Using multiple neurosensory testing levels , from basic bedside tools to advanced diagnostic techniques, clinicians can identify sensory loss early and improve patient outcomes.   Types of Diabetic Neuropathy Diabetic neuropathy is a heterogeneous condition and includes several types: Peripheral Neuropathy (distal symmetric polyneuropa...
Read more

Bunions in Diabetic Patients: Risks, Care Tips & Treatment Options

Image
Introduction For individuals with diabetes, foot care is more than a matter of comfort; it’s a matter of health and safety. Among the many complications that can affect the feet, bunions in diabetic patients pose unique risks. At the Surat Diabetic Foot Clinic, we have seen how untreated bunions can escalate into serious problems such as ulcers, infections, and even amputation. This article dives into why diabetic patients need to pay special attention to bunions, what warning signs to watch for, and how they can safely manage and treat the condition. Understanding Bunions: What Are They? A bunion , or hallux valgus , is a bony bump that forms at the base of the big toe. It results from the misalignment of bones in the foot, which pushes the big toe toward the smaller toes and causes the joint to protrude outward. Over time, bunions can become inflamed, painful, and interfere with mobility. While bunions are a common foot deformity, they carry more severe implications for people with ...
Read more