01539nas a2200313   4500000000100000008004100001260001700042653001500059653001000074653001100084653001200095653001700107653001600124653001400140653002500154653002500179653001000204653002200214653001600236100001500252700001400267700001300281245007100294300001100365490000700376050001600383520081200399022001401211       1999                            d  c1999 Apr-Jun10aAdolescent10aAdult10aHumans10aleprosy10aMedian Nerve10aMiddle Aged10aParalysis10aPatient Satisfaction10aPostoperative Period10aThumb10aTreatment Outcome10aUlnar nerve1 aPatond K R1 aBetal B D1 aGautam V00aResults of thumb correction in leprosy using different techniques.  a155-660 v71  aPLATOND19993 a<p>Forty-four hands of 42 leprosy patients with paralysis of intrinsic muscles of the hand were treated by opponensplasty using ring finger superficialis (FDS4) or extensor indicis proprius (EIP). Superficialis tendon of middle finger was also used in these hands for lumbrical replacement by "direct lasso" operation. Low ulnar paralysis with Froment's sign was corrected by transfer of radial half of flexor pollicis longus (FPL) to extensor pollicis longus (EPL). Results of thumb correction were assessed and analysed in 37 hands of 35 patients. The mean follow-up period was 19 months. Best results were found with transfer of half FPL to EPL. Results of FDS transfer was good in 12 out of 16 manual workers. EIP transfer worked well, but the power of the thumb and patients' satisfaction was less.</p>  a0254-9395