RESUMO
Ulnar neurolysis in 279 cases of leprosy was performed with objectives of relief in neuritic pain and impending/ existing sensory motor loss of varying extent. Of the above, 193 could be followed between 3-10 years. Neuritic pain was first to disappear. 48.7% of the 193 cases showed sensory recovery. Motor power gain and/or further fall in muscle power was prevented as a result of preventive neurolysis in 173 (89.6%) cases. In this series benefits of appropriate and timely surgical intervention have been observed.
Assuntos
Descompressão Cirúrgica/métodos , Hanseníase/complicações , Síndromes de Compressão do Nervo Ulnar/microbiologia , Síndromes de Compressão do Nervo Ulnar/cirurgia , Adolescente , Adulto , Idoso , Criança , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Destreza Motora , Dor/microbiologia , Transtornos de Sensação/microbiologia , Resultado do Tratamento , Síndromes de Compressão do Nervo Ulnar/complicações , Síndromes de Compressão do Nervo Ulnar/fisiopatologiaRESUMO
Twenty-three opponensplasties for ulnar median paralysis in 20 leprosy patients were performed by two different procedures i.e. extensor indicis proprius and flexor digitorum superficialis transfers using standard techniques. The results were evaluated using various objective and subjective, anatomical and functional parameters. Two tendon transfers appeared to be superior to single tendon two insertion transfers. It was concluded that if situation permits, two tendon transfers should be performed for combined ulnar median paralysis.
