RESUMO
Two hundred cases each of EFMT and sublimis transfer operations performed for correction of claw hand deformity following Hansen's disease were studied and the results compared. The cases were selected by systematic sampling. The incidences of reclawing in the index, long, and ring fingers were found to be more in the EFMT series. Also the postoperative intrinsic plus deformity was seen more often in the ring and little fingers in the EFMT series. The occurrence of a sublimis minus deformity following removal of the sublimis tendon is recognized and described. Both operative procedures produced 95% satisfactory results.
Assuntos
Deformidades Adquiridas da Mão/cirurgia , Hanseníase/cirurgia , Transferência Tendinosa , Humanos , Hanseníase/complicaçõesRESUMO
116 patients consisting of 54 males and 62 females, all engaged in agriculture were interviewed to find out the cause of their unemployment. Deformity seemed to be the major factor responsible for the loss of job among them, which was prevalent among advanced age group (Males--50, Females--53.5). Since the measures to rehabilitate them are rather difficult, it is essential to educate them on the methods of prevention of deformities and their importance. If not, they invariably loose their job at an age when they cannot train themselves for a suitable alternative job to earn their livelihood.