02020nas a2200385   4500000000100000008004100001260001300042653001000055653001100065653003100076653001100107653001200118653000900130653001700139653002000156653001000176653001400186653001700200653003100217653003900248653002600287653003000313653002000343653002200363653001600385100001400401700001400415245007100429856005100500300001100551490000700562050003200569520101900601022001401620       2002                            d  c2002 Dec10aAdult10aFemale10aHand Deformities, Acquired10aHumans10aleprosy10aMale10aMedian Nerve10aMedical Records10aNepal10aParalysis10aRadial Nerve10aRange of Motion, Articular10aReconstructive Surgical Procedures10aRetrospective Studies10aSeverity of Illness Index10aTendon Transfer10aTreatment Outcome10aUlnar nerve1 aMcEvitt E1 aSchwarz R00aTendon transfer for triple nerve paralysis of the hand in leprosy.  uhttps://leprosyreview.org/article/73/4/31-9325  a319-250 v73  aInfolep Library - available3 a<p>Paralysis of ulnar, median and radial nerves is seen in less than 1% of those affected with leprosy. This condition is a particular challenge for the surgeon, physiotherapist, and patient. A retrospective chart review was conducted at the Green Pastures Hospital and Rehabilitation Centre (GPHRC) and Anandaban Leprosy Hospital (ALH) in Nepal, and results were graded by the system outlined by Sundararaj in 1984. Thirty-one patients were identified, and 21 charts were available for review. Excellent or good results were obtained in 93% of patients for wrist extension, 85% of patients for finger extension, 90% of patients for thumb extension, 71% of patients for intrinsic reconstruction, and 63% of patients for thumb opposition reconstruction. These results are reasonable but inferior to those obtained by Sundararaj in his study. Surgical intervention offers a very significant improvement in function in these very difficult hands. Intensive physiotherapy is required both pre- and postoperatively.</p>  a0305-7518