J.Jpn. Surg. Soc.. 60(10): 1652-1659, 1959

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STUDIES ON THE LEPROTIC MOTOR PARALYSIS REPORT NO. 3
COUNTERMEASURE FOR TREATMENT OF LEPROTIC MOTOR PARALYSIS

It was very recent that clinicians gave an interest on a countermeasure of reconstructive surgery for leprotic motor paralysis, i.e., Brand presented orthopedic treatment for leprosy in 1950. Since then there were literatures from Lagrange and others, Kobayashi and Ito. However, neither one stated any particulars of fundamental materials for this disease. Consequently a decision of adaptable circle on either physical treatment or bloody one, an operating method on bloody treatment, and choice of available muscles etc. were nearly not mentioned.
As the author reported in the Report No. 1, the author observed leprotic motor paralysis by means of muscular chronaximetry, and found the occurrence frequency and the degree of this disease. In the Report No. 2, the author observed occurring mechanism of this case with muscular chronaximetry and manual test of muscles.
Furthermore in the Report No. 3, according to the above two methods, I got disturbing rate of function at the forearm muscles and intrinsic muscles of the hand related to movements of leper's fingers and hands.
Basing on these fundamental materials, the author made a countermeasure of reconstructive surgery for permanent paralysis causing the most part of leprotic myoparalysis.
The results were as follows :
1) For leprotic clawed fingers, the author applied with Bunnell's No. 2 and Lexer's methods which used to the M. flexor digitirum sublimis in the power source.
7 cases, 23 fingers-with Bunnell's No. 2.
3 cases, 5 fingers-with Lexer's.
With good results.
2) For leprotic ape hands, the author applied with the part alterative methods of Bunnell's and Roeren's .
5 cases 5 fingers-with Bunnell's methods
6 cases, 6 fingers-with Roeren's method.
With good results.
3) For leprotic drop feet,
5 cases-with 3 joints arthrodesis of the ankle by Lorthioir's method.
1 cases-with Nové-Josserand's method in the same part as above.
With good results.
4) For ectropic dropping lower lip of leprosy, the authyr applied 5 cases with a method for lifting up the lower lip by means of fascia fixing a fulcrum at the M. temporalis and good results were obtained.
5) However, a reconstructive surgery of muscles has to be done with physical treatments during 6 months after paralysis occurred.
(Author's abstract)

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