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Journal of Bone and Joint Surgery, 1962;44:1360-1364.
© 1962 by The Journal of Bone and Joint Surgery, Inc

Flexor-Tendon Grafts in the Less-Than-Optimum Situation

Robert M. McCormack M.D.1, Robert J. Demuth M.D.1, and Paul H. Kindling M.D.1

1 Department of Surgery, Division of Plastic Surgery, The University of Rochester School of Medicine and Dentistry, Rochester

A series of forty-six flexor-tendon grafts in forty-one patients is evaluated. All of these patients presented less-than-optimum situations for tendon-grafting due to persistent joint stiffness, deep cicatrix, preliminary skin-grafting procedures, nerve damage, or severe multiple injuries.

The results show a worth-while gain of flexion in the proximal interphalangeal joint of the fingers, but a poor gain in the distal interphalangeal joint. In the thumb this gain in flexion is less important for function if the intrinsic muscles are adequate. However, the importance of a flexor-tendon graft in the severely injured hand is judged by the contribution to the over-all function rather than the exact degree of motion obtained.


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