The Surgical Management of Foot Deformities in Leprosy.
نویسنده
چکیده
Trophic ulcers (or 'plantar ulcers' ) may occur on structurally normal but anaesthetic feet, and these have been called the 'dynamic type' ulcer, by Price ( 1 963) . They occur on pliant feet, heal rapidly with rest, and can be prevented by appropriate shoes. On the other hand, the presence of a deformity may promote recurrent and intractable ulcers even when shoes are worn. Ulcers associated with a fixed deformity have been called by Price the ' static type' . Untreated, these feet ultimately undergo total destruction, and may be considered for amputa tion. Lately, however, it has become clear that many of these feet can be salvaged and made useful again by corrective surgery and appro priate shoes . The classification of foot mutila tions resulting from leprosy has been the subject of a separate communication (Lennox) . Five groups of deformity were described, and their main features discussed . I t is the purpose of this paper to review those surgical methods which in the author's experience are useful in managing deformities which have a specific relationship to ulcers .
منابع مشابه
Leprosy deformities: experience in Molai Leprosy Hospital, Maiduguri, Nigeria.
A total of 410 patients (288 males, 122 females) aged between 9 and 60 years with an average age of 32.5 years were assessed for deformities of the eyes, hands and feet. The objectives were to find out the number and types of leprosy deformities in the leprosy population of the hospital, the proportion of those deformed among them and to establish the deformity baseline for the hospital. The st...
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ورودعنوان ژورنال:
- Leprosy review
دوره 36 شماره
صفحات -
تاریخ انتشار 1965