Tendon transfers in surgery of the rheumatoid hand

Tendon transfer procedures are used in the reconstructive surgery of the rheumatoid hand in cases of tendon ruptures, deformities, and compression neuropathies with subsequent muscle atrophy. The prerequisites and essential principles for tendon transfers are discussed, including the following: 1) correction of contractures, 2) adequate power of the muscle, 3) sufficient amplitude, 4) straight line of pull, and 5) maintenance of the integrity of the muscle.