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Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 5, 616-618.
doi: 10.1302/0301-620X.91B5.21521  
Copyright © 2009 by British Editorial Society of Bone and Joint Surgery
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Pronator teres transfer to correct pronation deformity of the forearm after an obstetrical brachial plexus injury

A. Amrani, MD, Orthopaedic Surgeon1; M. A. Dendane, MD, Orthopaedic Surgeon1; and Z. F. El Alami, MD, Professor1

1 Paediatric Orthopaedics and Reconstructive Surgery Unit Children’s Hospital of Rabat, Rabat, Morocco.

Correspondence should be sent to Dr A. Amrani; e-mail: amraniabdel{at}menara.ma

A pronation deformity of the forearm following an obstetric brachial plexus injury causes functional and cosmetic disability. We evaluated the results of pronator teres transfer to correct their deformity in 14 children treated over a period of four years. The mean age at surgery was 7.6 years (5 to 15). The indication for surgery in each case was impairment of active supination in a forearm that could be passively supinated provided that there was no medial contracture of the shoulder and normal function of the hand. The median follow-up was 20.4 months (8 to 42). No patient was lost to follow-up. Qualitative results were also assessed. The median active supination improved from 5° (0° to 10°) to 75° (70° to 80°) with no loss of pronation.

A passively correctible pronation contracture can be corrected safely and effectively by the transfer of pronator teres.




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G. A. Anderson, B. P. Thomas, and S. C. R. Pallapati
Flexor carpi ulnaris tendon transfer to the split brachioradialis tendon to restore supination in paralytic forearms
J Bone Joint Surg Br, February 1, 2010; 92-B(2): 230 - 234.
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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General