Simultaneous tendon transfer and autogenous augmentation of the first web space of the hand with intrinsic paralysis

Simultaneous tendon transfer and dermofat graft augmentation of the first web space of the hand with intrinsic paralysis is described. Fifty per cent over-correction of the web space volume is recommended in anticipation of postoperative graft resorption. Other techniques of fat auto-transplantation are discussed.

Opponensplasty by extensor indicis and flexor digitorium superficialis tendon transfer

From 1977 to 1988, 166 patients with median nerve paralysis of varied aetiology underwent opponensplasty. In 50 of these the extensor indicis was used, and in 116 the flexor digitorum superficialis of the ring finger. An analysis of these hands showed that the EI opponensplasty was best in supple hands and FDS opponensplasty was more suitable for less pliable hands. There were fewer complications seen after FDS opponensplasty if the detachment of the donor tendon was done through a volar oblique incision rather than the conventional lateral incision.

Study of the patellar tendon after harvesting the graft for reconstruction of the anterior cruciate ligament

We have studied the behaviour of the remnant of the patellar tendon after harvesting its medial one third in reconstruction of the anterior cruciate ligament, by choosing five cases in a randamizied fashion. The study included C.T, examination of the patellar tendon and comparing it with the other side for width, thickness and density. Histopathological examination was performed to the new tendon comparing it to that of the normal patellar tendon. We have found regeneration of the remnant of the pattellar tendon to be 115-126% as regards its width, 141-146% as regards its thickness, this was 1.5-2.5 years after the reconstruction