Opponensplasty using extensor indicis proprius

Functional impairment of the hand with loss of thumb opposition is serious handicap. Many modalities have been devised in order to restore opposition. An analysis of 19 opponensplasty using Extensor indicis proprius routed subcutaneously around the ulnar side of the forearm across the palm to metacarpophalageal joint and Extensor pollicis longus tendon near by. The main indication of this method are high median nerve injury and any combined and ulnar nerve injury. With these analysis, we can get several results as: overall functional results with this procedure are 47.4% excellent, 42.1% good, 10.5% fair. Rate to return to original occupation without significant difficulties was 36.8% which suggests it is just a limited modalities to improve functions in patients with median nerve paralysis, we need innovate to improve these handicaps.