Opponensplasty in intrinsic-muscle paralysis of the thumb in leprosy

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Palande-DD J-Bone-Joint-Surg-Am. 1975 Jun; 57(4): 489-93 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.