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Steindler Flexorplasty of the Elbow in Obstetric Brachial Plexus Injuries

van Egmond, Cornelis M.D.*; Tonino, Alfons J. M.D, Ph.D.*; Kortleve, Jan W. M.D.

Journal of Pediatric Orthopaedics: March-April 2001 - Volume 21 - Issue 2 - p 169-173

A Steindler flexorplasty at the elbow was performed in 26 patients with an obstetric brachial plexus lesion because of deficient elbow flexion. Follow-up after a mean of 2.9 years (range, 1–7 years) showed a good functional result in 23 cases, whereas 3 primary failures were noted. In one case, a recurrent dislocation of the elbow was seen 3 years after the initial flexorplasty. Steindler flexorplasty is a comparatively simple operation and gives very reliable results. It should be preferred above other, more elaborate muscle transfers for loss of elbow flexion.

Study conducted at Atrium Medical Center, Heerlen, The Netherlands

From the Departments of *Orthopaedic Surgery and Traumatology and †Plastic and Reconstructive Surgery, Atrium Medical Center, Heerlen, The Netherlands.

Address correspondence and reprint requests to C. van Egmond, M.D., P.O. Box 4446, 6401 CX, Heerlen, The Netherlands (e-mail: or

© 2001 Lippincott Williams & Wilkins, Inc.