However, the following insights on tendon repair and recommendations may help treating clinicians develop a standard for optimal recovery. Initial Wait: (It may be best to let the wound “cool off” under less tension for a day or two before opening surgically.tendon repair (ad)) Doing so will help to alleviate inflammation and prevent further complications from any swelling.
Optimal Time for Repair: Tendon lacerations should be repaired within two weeks of the injury. However, the majority of patients present to hand surgeons in a delayed fashion making repairs beyond this time interval. Excision and delayed repair within the tendon sheath may be harmful, since these repairs have high potential for failure due to distortion of tendons (together with formation of adhesions) which need surgical release in replacement12.
The consequences of delaying surgical release too long are that the muscle can become contracted and may have scar tissue that prevents proper tendon gliding. In these cases, patients waited >
3 weeks to have their injury repaired by which time the options for tendon grafts or transfers as opposed to direct repair (124).
Eventually, though delayed primary wound closure is favorable to allow a wound bed settle first but surgical intervention within 2–3 weeks after tendon injury saves the day in achieving functionality return and minimizing complications.