01357nas a2200313   4500000000100000008004100001260001300042653001000055653000900065653002200074653002200096653001100118653001500129653001100144653000800155653001200163653000900175653001600184653001800200100002000218700002200238700001700260700002100277245005000298300001000348490000700358520066400365022001401029       1992                            d  c1992 Apr10aAdult10aAged10aAged, 80 and over10aAmputation Stumps10aFemale10aFoot Ulcer10aHumans10aLeg10aleprosy10aMale10aMiddle Aged10aOsteomyelitis1 aMahaisavariya B1 aJeeravipoolvarn P1 aVipulakorn K1 aSirichativapee V00aShrinkage of the below-knee stump in leprosy.  a340-10 v793 a<p>The long-term progress of below-knee stumps was studied in 65 leprotic amputees. Thirty-seven patients underwent amputation with a long posterior flap (LP) and 28 patients with an equal anterior and posterior flap (EF) technique. Mean follow-up was for 6 and 7 years respectively. Shrinkage of the soft tissue and retraction of the posterior calf muscles caused the posterior skin flap of the stump to rotate posteriorly in all cases, with a mean 26 degrees of rotation in LP stumps and 42 degrees of rotation in EF stumps. The LP stumps remained thicker, with soft tissue padding at the bony ends, and had fewer stump complications than the EF stumps.</p>  a0007-1323