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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 II. Clinical Studies

W. A. MORRISON
S. M. SCHLICHT

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.

To minimize adhesions following tendon repair, early post-operative movement is recommended. This has proved difficult with tendon grafting because of weakness of the repair sites, particularly distally, and because of slow revascularization.

A potential solution is the use of a composite tendon-bone graft in which a bone block is attached to the end of the tendon. The tendon is threaded through a hole in the distal phalanx from the dorsal to the palmar side and impacted like a cork to create an immediate strong fixation. The tendon itself is then tunnelled through the pulley system and the proximal repair is carried out with a multiple weave technique which can withstand immediate active movement.

The ideal tendon-bone complex is the plantaris attached to a segment of calcaneus.

A preliminary report with two case studies is presented.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 4, 471-475 (1992)
DOI: 10.1016/S0266-7681(05)80277-3
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