A new method for flexor-tendon grafting is proposed, namely, two-stage tenoplasty. In the first stage, the cut ends of the tendons of the superficial and deep flexors of the respective finger are sutured to one another at the lumbrical muscle level. Thus, a pedicled tendon graft is created. In the second stage, the superficial flexor tendon is severed at the level of the musculotendinous junction and is dissected up to the previous suture point. The pedicle is then reversed, and its end is fixed to the distal phalanx.
My experience comprises thirty-four tendon grafts in twenty-seven patients. Assessment of the results, according to the criteria of Boyes, shows very encouraging end results, both cosmetically and functionally.