Plasty of Finger Flexor Tendons: Intra- or Extrasynovial Graft?

Abstract

Functional results of simultaneous reautoplasty of finger flexor tendons with the graft from the tendon of superficial flexor of injured finger (38 cases) versus the graft from the tendon of extensor digitorum longus pedis (74 cases) were evaluated. The conclusion was made that use of extrasynovial grafts from tendon of extensor longus of second-fourth toe was to be preferred: the rate of excellent results was by 15% higher (t=1.5), satisfactory results 2 times lower (t=1.2), the rate of graft detachment was 4 times lower (t=1.8) in comparison with plasty using intrasynovial grafts.