RECONSTRUCTIVE SURGICAL CORRECTION OF CLAW HAND DEFORMITIES IN POST HANSEN DISEASE PATIENTS BY LASSO PROCEDURE.

Dr Sumant Kumar Singh; Dr Arun Kumar; Dr Poonam Singh

Volume : IX, Issue : II, February - 2020

RECONSTRUCTIVE SURGICAL CORRECTION OF CLAW HAND DEFORMITIES IN POST HANSEN DISEASE PATIENTS BY LASSO PROCEDURE.

Dr Sumant Kumar Singh, Dr Arun Kumar, Dr Poonam Singh

Abstract :

The outcome of 18 claw hands deformities, corrected with the Zancolli lasso procedure was evaluated in present study, deformity, power, movement, and function of the hands were evaluated before and after surgery.The mean duration of surgery was 60 (range, 45–75) minutes. The mean duration of follow-up was 7.5 (range, 3–12) months. Deformity correction was good in 13 patients, fair in 3, and poor in 2. The mean angle improvement was maximum in the little finger,followed by the ring, index, and middle fingers.The Zancolli lasso procedure is easy to perform and does not require extensive postoperative training. It restores synchronous finger flexion and spares other superficialis tendons, thus avoiding swan neck deformity of the fingers.