01773nas a2200313 4500000000100000008004100001260001700042653003100059653001800090653001100108653001900119653001200138653002400150653002200174653003100196653001200227653001000239653001500249100001300264700001300277700001400290700001500304700001200319245008100331300001000412490000600422520101700428022001401445 1986 d c1986 Jan-Mar10aFoot Deformities, Acquired10aFoot Diseases10aHumans10aLeper Colonies10aleprosy10aMobile Health Units10aPatient Care Team10aPatient Education as Topic10aSenegal10aShoes10aSkin Ulcer1 aHirzel C1 aMillan J1 aBoucher P1 aNaudin J C1 aDiouf B00a[Prevention of perforating plantar ulcers: trial directed by a mobile team]. a79-920 v43 a
AIMS: to prevent the appearance of plantar ulcerations and then mutilations, by going in the field in order to: make suitable footwear, educate the patients, train the paramedical staff. Means: 1 fitted lorry, 1 physiotherapist, 1 shoemaker, and 1 educator.
RESULTS: In one year, 206 patients have been provided with shoes and followed up. Advice have been taken exactly in the leper villages in which the attendance rate is of 98%; this rate varies between 47 to 70% in the all-purpose dispensaries. Paramedical workers of all-purpose Health Centers did not take great interest in this action. After 6-12 months under observation: 84% of good results for the feet without deformity or slightly deformed; 51% for the deformed feet. The results are quite satisfactory for the feet without plantar ulcer at the beginning, and that whatever the food deformity stage. But for the feet wounded by plantar ulcer at the beginning, 33% of recovery have been reported after wearing these shoes.
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