01177nas a2200205   4500000000100000008004100001260001700042653000900059653001100068653001200079653001400091653002100105653001000126100001400136245013100150300001000281490000700291520065900298022001400957       1979                            d  c1979 Jan-Feb10aHand10aHumans10aleprosy10aParalysis10aSurgery, Plastic10aThumb1 aBourrel P00a[Paralysis of the opposition of the thumb in leprosy: value of the transplantation of the extensor indicis (author's transl)].  a87-900 v393 a<p>The transplantation of the extensor indicis to restore the opposition of thumb has been realized by two techniques: -- transplantation through the 2nd interosseous space with suture on the abductor pollicis brevis but the result was poor for the guide pulley resulting did not work well. -- transplantation with reflexion on the cubital side of the wrist which in 5 cases proved to be satisfactory. In medico cubital paralysis one must also cure the "cubital claw of the thumb". The surgical procedure, using a dispensable tendon, could be directly associated to the sutures of the proximal injuries of the cubital nerve as a temporary palliative.</p>  a0025-682X