ABSTRACT
Nerve pedicle grafts in the forearm were performed on six patients with Volkmann's Ischaemic contracture with massive damage of both median and ulnar nerves. The operation was performed in two stages, in the first stage, flexor pronator release was done and the distal ends of the proximal segments of the median and ulnar nerves were sutured together and the ulnar nerves were incompletely sectioned high in the axilla. Six weeks later, the ulnar nerve was transposed distally and sutured to the healthy distal segment of the median nerve proximal to the wrist joint. All patients regained a reasonable motor and sensory recovery in the area supplied by the median nerve and sudomotor recovery was good. Trophic ulcers on the tip of medial three fingers have markedly decreased. The patients can manage variable independent activities of daily life. This procedure definitely should have a place in situation when the median and ulnar nerves have been damaged beyond hope of recovery