Opponensplasty in intrinsic-muscle paralysis of the thumb in leprosy.
For eighty-six cases of leprous paralysis of the intrinsic muscles of the hand, a modified Bunnell opponensplasty (transfer of a finger flexor) was done. Good results were seen in eighteen and fair results in sixty-three. The five poor results occurred because of infection, weakness, or deformity. Adjuvant procedures, as needed, were interphalangeal arthrodeis of the thumb, capsulorrhaphy of the wrist, and additional tendon transfers.
D000293:Adolescent; D000328:Adult; D001174:Arthrodesis; D002648:Child; D005260:Female; D005385:Fingers / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007918:Leprosy / Q000150:complications*; D008297:Male; D008722:Methods; D008875:Middle Aged; D009068:Movement; D009132:Muscles / Q000601:surgery*; D009135:Muscular Diseases / Q000209:etiology / Q000601:surgery*; D010243:Paralysis / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications; D013709:Tendon Transfer; D013933:Thumb / Q000601:surgery*; D014955:Wrist Joint / Q000601:surgery