This is a practical and comprehensive guide for hand surgeons to innovations in hand flexor tendon reconstructions introducing new concepts such as the Multimicrovacuolar Collagenic Absorbing System, the Sliding Unit, vascularized island flexor tendon autotransfers with or without associated skin flap, and vascularized flexor tendon homotransplants.

Step-by-step descriptions of different technical procedures, performed in ONE STAGE, are included as well as sections focusing on tendon sliding and vascularization. Information is provided on key anatomic and biologic features.

The book is lavishly and colour fully illustrated throughout with drawings and preoperative, intraoperative and postoperative photographs.

An award-winning video-Cd-rom provided with the book gives visual experience of live surgery and better comprehension of the concept of the sliding system.

Pr. Harold E. Kleinert. Louisville. USA.

"New procedures and new concepts as introduced by Dr. Guimberteau, such as a vascularized flexor tendon with its mesotenon to restore flexor tendons, resulted in impressive digital motion, and not only advanced and changed the specialty of hand surgery, but of all surgery.".

Pr. Claude Verdan. Lausanne. Switzerland.

"Jean Claude Guimberteau's book introduces three new subjects which must be of great interest to hand surgeons :

- the acute knowledge of the sliding system of tendons and their vascularization perfectly adapted to this mechanism.

- a new type of technical procedure, described in 1988, for salvage situation in secondary flexor tendon repairs, using a vascularized sliding unit composed of a flexor tendon and its surrounding sheath islanded on a branch of the ulnar pedicle as a "Chinese flap".

- the possibility to perform vascularized global digital flexion system homotransplants in special indications.

So, Jean Claude Guimberteau's achievement is of great importance in the progress of hand tendon surgery".