Biceps pronation transfer
Marc Revol, MD, Jean-Marie Servant, MD
(Service de Chirurgie Plastique. Hopital Saint-Louis. 75475 Paris Cedex 10. France)
In our experience, this operation was rarely performed (one case out of 300), because in all other cases intensive rehabilitation only was always sufficient to reduce supination contracture (permanent pronation orthoses and passive mobilisation).
In the only case we have operated on (group 0), the two following criteria were present :
supination was passively reductible,
and an assessment by occupational therapists had clearly demonstrated the potential benefit of biceps pronation transfer.
The only danger in this surgical procedure is the radial nerve. Consequently, we suggest an anterior extensive approach, in order to control both motor and sensitive branches of this nerve.
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