ABSTRACT
This study included 26 forearms with spastic flexion pronation deformity of the wrist in 26 patients. The objectives of this study; were to throw out the light on the principles, prerequisites, and contraindications of surgical management for such deformity. Clinical assessment [pre and postoperative] included upper extremity function use score, active supination degrees, voluntary control level, steriogonosis, as well as [2 point] discrimination grades. The follow up period ranged from 6- 26 months and 2 cases were missed from this study. The results were satisfactory regarding the positive change in the average level of the upper extremity function use score [+ 2.7] from before to after surgeries. At the final follow up, the patients gained average 48 degrees of active supination in comparison to average of 3 degrees preoperatively. Also, there was significant change in the level of voluntary control at the end of the study. Finally, we concluded that surgical management of flexion pronation deformity of the forearm and wrist should be individualized and the surgical procedures should be tailored for every patient after thorough assessment of the mental status, sensibility deficit and the voluntary motor control