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KMID : 0361619720070010077
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Journal of the Korean Orthopaedic Association
1972 Volume.7 No. 1 p.77 ~ p.82
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A Follow up Study of the Extensor-Extensor Many Tailed Operation for Leprous Claw Hands
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嚴正燮/Eum, Jung-Sup
李壽永/金益東/Lee, Soo-Young/Kim, Ik-Dong
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Abstract
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Sixty four leprous claw hands had been operated on for intrinsic replacement "extensor-extensor many tailed" at the Department of Orthopedic Surgery, Kyungpook National University Hospital during the period from 1966 to 1970.
The follow up study was carried out for fourty-one hands from one year to four years and nine months after operation, and evaluated by the following assessments.
1. Fully open hand assessment
2. Lumbrical position assessment
3. Hook position assessment
4. Closed fist assessment
5. Mechanics of closing
6. Separate finger movement in lumbrical position
The results obtained were as follows:
1. The most of the cases were median-ulnar palsy.
2. The majority of them were in third decade young men.
3. Satisfactory result was 63.5% in appearance, 70.8% in function, 62.8% according to the patient´s statement, and 61.1 % in overall total assessment.
4. As complication two cases of severe adhesion of the grafted tendons and significant lateral deviation on nine fingers were noted.
5. Preoperative and postoperative physiotherapy contributed a important roll in the end results.
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