Grafts typically chosen are the palmaris longus, plantaris, and long toe extensors.
The palmaris longus and plantaris tendons are occasionally absent. They also may be suboptimal due to small width and decreased tensile strength. The use of hamstring tendons as grafts in lower extremity surgery is well described. The length, width, and morphologic characteristics of the semitendinosus and gracilis tendons were studied for potential use as donor grafts in the hand. Ten cadaver specimens were dissected and each semitendinosus, gracilis, digital profundi, flexor pollicis longus and palmaris tendon was harvested from the musculotendinous junction to their insertions.