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Article
January 1939

REPAIR OF HERNIA WITH PLANTARIS TENDON GRAFTS

Author Affiliations

First Assistant in the Surgical Unit, University College Hospital LONDON, ENGLAND

Arch Surg. 1939;38(1):16-23. doi:10.1001/archsurg.1939.01200070019002
Abstract

The plantaris tendon is a suitable structure for grafting and can be used in operations usually performed with grafts of fascia lata, over which it has several advantages. My object in this paper is first to state the relevant facts about the anatomy of the tendon, secondly to describe a method of removing it and thirdly to describe its use as a graft in the repair of hernia.

ANATOMY  The plantaris tendon is absent in 7.5 per cent of subjects, according to Gruber as quoted in Quain's "Anatomy"1 (1892). In a further proportion of cases it is too slender to be used as a graft in hernia repair, although it may be adequate for other purposes as a suture material. In 100 consecutive postmortem examinations I found the tendon absent or inadequate in 16. This constitutes the sole disadvantage of the proposed use of the tendon. The deficiency, however,

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