Correction of paralytic claw finger in leprosy by capsulorrhaphy and pulley advancement.

Paralytic claw-finger deformity in leprosy was corrected by metacarpophalangeal capsulorrhaphy and fibrous flexor pulley advancement in ninety fingers in thirty-seven hands. Sixty-eight of these were analyzed after one to four years' follow-up. The overall results were: good in forty-two, fair in seventeen, and poor in nine. This procedure was done in selected patients in whom for various reasons good results of tendon transfer were not assured.