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CC BY-NC-ND 4.0 · Indian J Plast Surg 2020; 53(03): 409-415
DOI: 10.1055/s-0040-1718857
Ideas and Innovations

Modified Total Intrinsic Rehabilitation Procedure for Ulnar Palsy

Venugopal Purushothaman
1   Department of Plastic Surgery, Apollo First Med Hospital, P.H. Road, Chennai, Tamil Nadu, India
,
Jijo Joseph
1   Department of Plastic Surgery, Apollo First Med Hospital, P.H. Road, Chennai, Tamil Nadu, India
,
Sabari Girish Ambat
1   Department of Plastic Surgery, Apollo First Med Hospital, P.H. Road, Chennai, Tamil Nadu, India
,
Krishnan Vinothkumar
1   Department of Plastic Surgery, Apollo First Med Hospital, P.H. Road, Chennai, Tamil Nadu, India
,
Ramaswami Venkataswami
1   Department of Plastic Surgery, Apollo First Med Hospital, P.H. Road, Chennai, Tamil Nadu, India
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Abstract

Tendon transfer for ulnar palsy has been an area of interest for many a stalwart in hand surgery, especially in southeast Asian countries, mainly because of the prevalence of Hansen’s disease in these countries. Although the procedures look standardized, there are still many lacunae. Here in this article, we discuss about a surgical technique by which all the motor disabilities evolving due to ulnar nerve paralysis are addressed with three sets of tendon transfers performed in a single stage for: (1) key pinch restoration, (2) claw correction and adduction of fingers, and (3) claw correction and abduction of fingers.

Keywords

claw hand - metacarpophalangeal joint - tendon transfer - transverse metacarpal arch - ulnar palsy


Publication History

Article published online:
30 December 2020

© 2020. Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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