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Abstract Introduction and Aim of the Work The hand’s enormous capacity for adaptability has allowed primitive humans to make stone tools and modern humans to pilot complex aircraft (Bender and Light, 1996). This is owing to the miraculous accuracy of the fingers in clasping and pinching to judge both power and space simultaneously (Milford, 1975). The concept of providing a more equitable distribution of forces acting upon a disabled limb is the basis of tendon transfers. (Hovius, 1993). So tendon transfer procedures may prove to be a viable option to restore balance and function of a disabled hand, with the extreme necessity to focus on specific protocol for each palsied hand. (Hoard et al., 1995). The surgeon who attempts reconstruction of the palsied hand must have a precise knowledge of structural, functional anatomy and current methods of tendon transplantation, as an important line of treatment at this field. (Riordan, 1987). The aim of this study is to mention the basics of operative and peri-operative tendon handling, using the transference techniques in the palsied hand as a field, as well as how to think systematically to capture the appropriate choice of the transfer, putting in mind the biomechanical disturbances that occurred. |