[Substitution of the tendon sheath by autologous vein in the "no-man's land" of the hand].

Reconstructive surgical interventions on the level of the proximal phalanges and performed after the lesions of the flexor tendons on the distal palm are discussed. In order to reduce the adhesions "bridging of the no man's land" by means of an autotransplanted vein is recommended by the authors. The vein-graft cannulated on a silicone bar is embedded within a few weeks, and after the removal of the silicone the "no man's land" is "over-bridged" by a pseudotendon sheath, stuffed with endothelium of good sliding surface. Thus, in the second sitting each of the plastic "bridge" methods (Bunnell, Paneva--Holevitch) may be performed. The operative technique and the first 4 cases are shortly discussed by the authors.