01504nas a2200325   4500000000100000008004100001260001700042653001000059653001100069653001500080653001100095653001200106653000900118653001600127653001900143100001100162700000900173700001100182700001200193700001200205700001100217700001200228700000900240245014500249300001100394490000700405050003200412520072000444022001401164       1999                            d  c1999 Jul-Sep10aAdult10aFemale10aFoot Ulcer10aHumans10aleprosy10aMale10aMiddle Aged10aSurgical Flaps1 aDong L1 aLi F1 aWang Z1 aJiang J1 aZhang G1 aPeng J1 aZhang J1 aYe Y00aTechniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part I--General considerations and summary of results.  a285-950 v71  aInfolep Library - available3 a<p>Recurrent plantar ulceration is a common and serious complication occurring consequent to impairment of the tibial nerve in leprosy patients. In spite of many therapies and long therapeutic course, it is extremely difficult to abolish this complication in many cases because of extensive skin and soft tissue cushion loss due to repeated infection. Since the early 70's we have been using microscopic surgical techniques to reconstruct the ulcerated area using eight types of the flaps. In this series of papers we review our experience (76 patients). Post-operatively, the flaps survived in all cases, the long-term results have proved satisfactory, and recurrent ulceration occurred in only three patients.</p>  a0254-9395