title: Factors affecting functional outcome of surgical correction of claw hand in leprosy.
abstract: The objective of this paper is to study the results and the factors that impact the results of claw hand surgery in leprosy. 110 patients who underwent claw hand correction between 2002 and 2006 were followed up and studied. Brand's criteria for objective assessment and a visual analog scale for subjective assessment were used. The factors studied were age, sex, clinical, duration of paralysis, long flexor tightness, degree of contracture and type of surgery. Objective assessment showed Excellent or Good results in 76.6%, Fair in 20% and Poor in 3.4%. Subjective assessment showed that 80.8% were fully satisfied or satisfied. Regression analysis showed that age, degree of contracture,duration of paralysis and long flexor contracture were seen as significant factors impacting results of claw hand correction.
authors.affiliation: Schieffelin Institute of Health-Research and Leprosy Centre, Karigiri- 632106Vellore, India. mannam_ebenezer@yahoo.co.in
authors.forename: M
authors.initials: M
authors.lastname: Ebenezer
authors.forename: K
authors.initials: K
authors.lastname: Rao
authors.forename: S
authors.initials: S
authors.lastname: Partheebarajan
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006227:Hand Deformities, Acquired / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007223:Infant; D007918:Leprosy / Q000150:complications* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010243:Paralysis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012044:Regression Analysis; D012189:Retrospective Studies; D013709:Tendon Transfer / Q000379:methods; D016896:Treatment Outcome; D020424:Ulnar Neuropathies / Q000209:etiology / Q000601:surgery*; D055815:Young Adult