Although numerous opponensplasties are described, the options are limi
ted when the median and ulnar nerves and the flexor tendons are injure
d. We describe a new tendon transfer using the previously injured flex
or carpi radialis combined with a fascia lata graft for opponensplasty
in a patient who had a wrist injury resulting in division of all his
flexor tendons, except flexor carpi ulnaris, and the median and ulnar
nerves.