01586nas a2200337   4500000000100000008004100001260001300042653001500055653001000070653001000080653001100090653001100101653001200112653000900124653001700133653001600150653001400166653003200180653002000212653001000232653002200242653001600264100001200280700001700292700001300309245009100322300001100413490000700424520080300431022001401234       1996                            d  c1996 Oct10aAdolescent10aAdult10aChild10aFemale10aHumans10aleprosy10aMale10aMedian Nerve10aMiddle Aged10aParalysis10aPostoperative Complications10aTendon Transfer10aThumb10aTreatment Outcome10aUlnar nerve1 aMehta R1 aMalaviya G N1 aHusain S00aExtensor indicis opposition transfer in the ulnar and median palsied thumb in leprosy.  a617-210 v213 a<p>Twenty seven opponensplasties for ulnar and median paralysis in 25 leprosy patients were performed using extensor indicis proprius. An additional transfer of the radial half of flexor pollicis longus to extensor pollicis longus was done to stabilize the metacarpophalangeal joint of the thumb. The biomechanical aspects of extensor indicis proprius tendon transfer were studied and results evaluated using various anatomical and functional parameters. Extensor indicis proprius provides adequate strength to position the thumb. However, sometimes it does not reach its new insertion. There is no significant deficit at the donor site but in a few cases the index finger may lose its capability for independent extension and sometimes a proximal interphalangeal joint contracture may develop.</p>  a0266-7681