01454nas a2200277 4500000000100000008004100001260001300042653001500055653001000070653001000080653002200090653001100112653001200123653001600135653003200151653001400183653001700197100001300214700001400227245012200241300001000363490000800373050001500381520076600396022001401162 1987 d c1987 May10aAdolescent10aAdult10aChild10aFollow-Up Studies10aHumans10aleprosy10aMiddle Aged10aNerve Compression Syndromes10aSensation10aTibial Nerve1 aChaise F1 aBoucher P00a[Remote results of the surgical decompression of the posterior tibial nerve in the neuropathies of Hansen's disease]. a315-80 v124 aCHAISE19873 a

Results are reported of surgery to the posterior tibial nerve affected by leprosy in 50 patients. A total of 90 neurolyses were performed using a similar technique. Study of the effect of surgery on the course of plantar sensitivity showed that 3 groups of nerves can be distinguished. Nerves in group 1 (21 totally paralyzed nerves) responded poorly to surgery (38% useful results) while on the contrary nerves in group 3 (non-paralyzed nerves) represented the ideal indication, surgery being truly prophylactic. In group 2 nerves a useful result was obtained in 82%. Indications for use of this surgical procedure are discussed, and more particularly the parameters affecting the quality of the results: severity of lesion, immunologic type of disease.

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