01457nas a2200313 4500000000100000008004100001260001300042653001000055653000900065653001100074653000900085653001100094653001200105653000900117653001600126653002100142653003200163653002800195653002400223100001500247700001400262245009000276856005900366300001100425490000700436050003200443520065400475022001401129 1990 d c1990 Sep10aAdult10aAged10aFemale10aHand10aHumans10aleprosy10aMale10aMiddle Aged10aMuscular Atrophy10aPostoperative Complications10aProstheses and Implants10aSilicone Elastomers1 aDuerksen F1 aVirmond M00aCarvable silicone rubber prosthetic implant for atrophy of the first web in the hand. uhttp://leprev.ilsl.br/pdfs/1990/v61n3/pdf/v61n3a09.pdf a267-720 v61 aInfolep Library - available3 a
Muscular atrophy of the first web space in the hand is a common finding following ulnar nerve palsy and this deformity is very stigmatizing among leprosy patients in some countries and cultures. We present our experience with the carvable soft-silicone rubber block implant to correct this deformity. We discuss the procedure, results and advantages over other techniques. Fifteen operations were performed at the 'Lauro de Souza Lima' Research Institute, Bauru, Brazil during a period of six years. One complication was encountered due to an implant that was too large. The results were considered good in twelve instances and fair in three.
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