01539nas a2200253 4500000000100000008004100001260001300042653001100055653001200066653003100078653001100109653001200120653000900132653003200141653001200173100001400185700001700199245008800216300001000304490000700314050003200321520091800353022001401271 1981 d c1981 Oct10aFemale10aFingers10aHand Deformities, Acquired10aHumans10aleprosy10aMale10aPostoperative Complications10aTendons1 aReddy N R1 aKolumban S L00aEffects of fingers of leprosy patients having surgical removal of sublimus tendons. a594-90 v53 aInfolep Library - available3 a
A retrospective study was carried out by the analysis of 212 charts of leprosy patients attending the Schieffelin Leprosy Research and Training Centre for the period 1964 to 1974. The purpose was to determine what changes were evident in postoperative fingers after their sublimus tendons were surgically removed for some other purposes such as for use as a motor tendon for opponens replacement etc. At the conclusion of the analysis it was found that there were five negative and two positive effects for these fingers. The negative effects were post-operative development of (1) Swan Neck Deformity (83%) (2) T.I.P. Extension Limitation (3) P.I.P. Flexion Limitation and, (4 & 5) T.I.P. Flexion and M.P. Extension Limitation. The positive effects were improvement of both hooding deformity (boutonniere) and P.I.P. Extension Limitation. The reasons for these negative and positive effects are discussed.
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