The Journal of Bone and Joint Surgery, Vol 57, Issue 4 489-493, Copyright © 1975 by Journal of Bone and Joint Surgery, Inc
Opponensplasty in intrinsic-muscle paralysis of the thumb in leprosy
DD Palande
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.