Abstract
Background: Flexor tendon rupture is a common traumatic event that is treated with surgery. Delay in reconstruction can reduce the chances of successful treatment even the surgeon is forced to choose fuse surgery.
 Case Report: The study case was a 9-year-old girl who presented after months of traumatic injury with severe deformity of index finger and shortened flexor digitorum profundus (FDP). Although there was no suitable tendon, a plantaris tendon graft was prepared from her left leg. After one year, the range of motion (ROM) in the left hand was normal beyond expectation.
 Conclusion: Single-stage tendon graft repair surgery even in chronic cases with shortened tendon and severe deformity is a good method which is recommended for similar patients, especially in children.
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