Abstract

A 22 year-old male patient, suffered from residual paralysis of the left upper limb due to poliomyelitis. The shoulder was flail, and active flexion of the elbow was impossible. The patient was treated with transfer of part of the pectoralis major muscle to the biceps tendon and fusion of the ipsilateral shoulder. At the latest follow-up, 42 years postoperatively, the functional result is excellent with full active flexion of the elbow and ability to lift 5 kg of weight.