In 16 fingers in 12 patients, where profundus tendon reconstruction was contraindicated due to soft tissue and distal joint changes, the superficialis tendon was reconstructed in two stages using a round silicone rod from the distal interphalangeal joint to the lumbrical level in the palm and profundus-superficialis tenorrhaphy as the first stage. The proximal end of the pedicled superficialis was used as the graft in the second stage. Fifteen fingers obtained a satisfactory result; one was a failure when the rod protruded through the skin. Two patients required a third surgical procedure: one a tenolysis at the superficialis-profundus junction, the other reattachment of the graft distally.