Surgical reconstruction in intrinsic palsy of the fingers. A study of hundred cases.

The authors analyze the results obtained by surgical treatment in 100 cases of intrinsic palsy of the hand. The distribution of the surgical procedures performed under regional anesthesia was as follows: Brand II: 41, Palande's lasso: 14, Zancolli: 15, Palande: 13, Littler: 13, Brand I: 2. Results were satisfactory in 74 p. cent, unchanged in 20 p. cent and poor in 6 p. cent of cases. The analysis of this series showed a significant difference in the results obtained in the little finger with better results when Palande's and the lasso procedures were used (for the hand in the lumbrical and open positions). Indications have thus been defined according to the degree of nerve damage and environmental factors. Physical therapy is essential for good integration of tendon transfers.