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Journal of Hand Surgery (British and European Volume)
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Articles

The Plantaris Tendon as a Tendo-Osseous Graft

Part I. An anatomical study

S. M. SCHLICHT
W. A. MORRISON

From the Department of Surgery and Microsurgery Research Centre, St Vincent’s Hospital, Melbourne, Australia

Correspondence: Professor W. A. Morrison, Department of Surgery and Microsurgery Research Centre, St Vincent’s Hospital, Victoria Parade, Fitzroy, Victoria 3065, Australia.

Comparative studies have shown that bone-bone union develops faster than a junction between grafted tendon and bone, and would thus allow earlier post-operative movement, limiting adhesion formation. In this context the nature of the insertion of the plantaris tendon into the calcaneus is reviewed as a possible source of composite bone-tendon grafts. It is proposed that the composite plantaris tendon with its bony block attachment is inserted through a hole in the distal phalanx of the finger creating an immediate firm distal fixation. From cadaver dissections it was found that in at least 80% of cases the insertion of the plantaris tendon was directly into the calcaneus, independent of the tendo Achilles, and was therefore suitable for use as the proposed tendon graft.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 4, 467-470 (1992)
DOI: 10.1016/S0266-7681(05)80276-1
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