Leprosy pp 321-327 | Cite as

Surgical and Social Rehabilitation

  • J. Wim Brandsma
  • Sunil Deepak


The permanent paralytic deformities due to leprosy neuropathy can all be surgically corrected. Tendon transfer surgery can correct the muscular imbalance that may result from ulnar, median, and common peroneal paralysis. Surgery should be performed by surgeons who have had some training with a surgeon experienced in leprosy reconstructive surgery. Pre- and postoperative therapy by experienced therapists is equally important. Rehabilitation should also involve the social consequences of leprosy, e.g., inappropriate community attitudes, loss of work, etc., as they also often contribute to “disability.” Community-based rehabilitation involvement should be included in leprosy control projects to raise awareness, change attitudes, and ensure that leprosy-affected people can take and/or maintain their rightful places in society.


Tendon Transfer Flexor Digitorum Superficialis Affected Person Social Rehabilitation Tendon Surgery 
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Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  1. 1.Independent Hand and Leprosy Rehabilitation ConsultantMaarnThe Netherlands
  2. 2.Scientific Support DepartmentItalian Association Amici di Raoul Follereau (AIFO)BolognaItaly

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