COMPARATIVE STUDY OF FUNCTIONAL OUTCOME AND OPERATIVE TIME BETWEEN PALMARIS LONGUS 4 TAIL AND FDS TENDON TRANSFER IN POST HANSEN'S ULNAR CLAW HAND.

Dr Amit Kumar Roy, Dr Suman Das, Dr Rupnarayan Bhattacharya, Dr Shubhrojyoti Roy

Abstract


Introduction: Leprosy is a leading cause of permanent disability. Claw hand deformity caused by involvement of Median and ulnar nerve, compromises the vocational activities. Surgeries aim in stabilization of the metacarpo-phalangeal joint in flexion, to prevent it from hyperextension. This study compared the outcomes & operative time after Palmaris Longus 4 tail & FDS tendon transfer in ulnar claw hand.

Material and methods: A total of 40 Patients meeting inclusion criteria were selected into 2 groups I.e.  Patients undergoing Palmaris Longus 4 tail tendon transfer (PL4T) and FDS tendon Transfer.

Results: Functional improvement in PL4T is more than in FDS. Though operative time in FDS group is shorter than PL4T group but statistical analysis does not show any significance.

Conclusion: Measurement aspect of both  groups in this study failed to reveal any difference of statistical significance.


Keywords


Leprosy, Palmaris Longus 4 tail, FDS tendon transfer, Ulnar Claw Hand

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References


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