Srinivasan H
J Hand Surg Am. 1985 Nov;10(6 Pt 2):979-82. doi: 10.1016/s0363-5023(85)80017-4.
A simple operation is described for correcting the intrinsic minus finger deformity commonly seen in patients with leprosy. It consists of shortening the palmar skin at the level of the MP joint and flexor pulley advancement. This produces an acceptable flexion contracture of not more than 40 degrees of the MP joint, as in Zancolli's capsuloplasty, and optimizes the balance of forces around the finger joints in favor of improved MP joint flexion and PIP joint extension. A preliminary evaluation of 11 hands of patients with leprosy with ulnar or ulnar and median nerve paralysis who underwent this surgery and were followed for 7 to 17 months after surgery shows that this operation satisfactorily corrects claw deformity and improves intrinsic minus disability. The most important advantages of this procedure are that it is technically simple and does not require postoperative reeducative therapy.
本文描述了一种简单的手术方法，用于矫正麻风病患者常见的固有性手指内收畸形。该手术包括在掌指关节水平缩短手掌皮肤并推进屈指腱鞘。这会产生不超过40度的可接受的掌指关节屈曲挛缩，如同赞科利关节囊成形术一样，并优化手指关节周围的力平衡，有利于改善掌指关节屈曲和近端指间关节伸展。对11例患有尺神经或尺神经与正中神经麻痹的麻风病患者的手部进行了初步评估，这些患者接受了该手术，并在术后随访7至17个月，结果显示该手术能令人满意地矫正爪形畸形并改善固有性内收功能障碍。该手术最重要的优点是技术简单，且术后无需康复治疗。
