The results in thirty patients with profundus tendon grafts in the presence of an intact sublimis tendon are analyzed. In sixteen patients 30 degrees of active flexion of the distal joint or more was possible with the finger in flexion. Twelve of fourteen fingers with no associated injuries or previous repairs had 20 degrees of active flexion of the distal interphalangeal joint or more, and nine of the sixteen fingers with an associated injury or a previous repair had active flexion of 20 degrees or more. In sixteen of the twenty adult patients, the finger would actively flex sufficiently to bring the pulp to 2.5 centimeters of the distal palmar crease.
A modification of White's end-result classification for tendon grafts is proposed. Using this classification 20 per cent of our patients were classified as having excellent results, 37 per cent good results, 37 per cent fair results, and 6 per cent poor results.
From the Departments of Plastic and General Surgery, Division of Hand Surgery, Western Reserve University Hospitals, Cleveland