Fourteen patients with twenty-four radial club-hand deformities have been followed for an average of six years. These patients were divided into Group A, patients who were treated by previously reported procedures, and Group B, patients who were treated by a two-stage procedure consisting in centralization of the hand by removal of the lunate and capitate bones followed by transfer of the superficialis tendon from the long and ring fingers around the ulnar side of the wrist to the dorsum of the shaft of the index and long-finger metacarpals to maintain the hand in the corrected position. The superficialis tendons to the long and ring finger are not always available and in these cases another motor can be selected. No satisfactory results occurred in Group A, while 72 per cent of the results in Group B were satisfactory. The most satisfactory results occurred when treatment was started during the first year of life.