Tendon transfer is performed for the following purposes:

• 1.To provide strength for a function impaired due to one or more non-functioning muscles.
• 2.To prevent deformity caused by strength imbalances in various muscles acting on a joint.
• 3.To prevent dislocations by ensuring balance between the forces of muscles acting on a joint.

When performing a tendon transfer, the following factors should be considered:

• 1.The transferred tendon and its associated muscle must have sufficient strength to perform the expected function.
• 2.The tendon must be positioned in a way that allows it to function optimally in its new location.
• 3.The tendon must have adequate flexibility.
• 4.The blood and nerve supply of the muscle associated with the transferred tendon should be preserved.
• 5.There should be no limitation of movement in the joint where functional recovery is expected after the tendon transfer.
• 6.The tendon should be secured under appropriate tension in its new position.