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Forty-one patients with cerebral palsy and pronation contracture of the forearm were treated with pronator teres rerouting compared with 16 patients who were treated with pronator teres tenotomy. The mean age of patients with pronator tenotomy was 4 years 3 months compared with 7 years 3 months for patients with rerouting. Follow-up averaged 94 months for tenotomy and 21 months for rerouting. Average gain in supination was 78 degrees for rerouting and 54 degrees for tenotomy. No patient lost active range of motion during follow-up. Although pronator teres tenotomy increased active supination of the forearm, greater active supination of the forearm was afforded patients treated with pronator teres rerouting.
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Accepted: November 3, 1987
Received: April 6, 1987
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of the article.
**We thank Debbie Seyer, OTR, for her contribution to this study, and Deanne Rickert for typing the manuscript.
© 1988 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.