| CONSISTS OF | Moving a working tendon from its original assignment to one needed to make up for one of the lost movement functions | One or two stage replacement of a segment of tendon with a new piece of tendon taken from elsewhere in the body |
| FEATURES | Only tendons that can afford to give up their original function are used | Silicone rods are placed in the tendon pathway in stage one then replaced with actual tendon in stage two |
| ADVANTAGES | Transferred tendons have blood supply and a single connection point that must heal | The brain is using the original muscle to tendon unit it is programmed to understand |
| DISADVANTAGES | Substitution with a tendon transfer can never really recreate the original lost function and the brain must learn to use the new connection | Lack of blood supply to the spliced tendon segment causes significant adhesions and limited final motion, 2 connection points that must heal |