01637nas a2200301   4500000000100000008004100001260001300042653001100055653001500066653001100081653001200092653000900104653001600113653003900129653001900168100001500187700001200202700001000214700001300224700001400237245007800251856005100329300001100380490000700391050001800398520090500416022001401321       2005                            d  c2005 Sep10aFemale10aFoot Ulcer10aHumans10aleprosy10aMale10aMiddle Aged10aReconstructive Surgical Procedures10aSurgical Flaps1 aGahalaut P1 aPinto J1 aPai G1 aKamath J1 aJoshua TV00aA novel treatment for plantar ulcers in leprosy: local superficial flaps.  uhttps://leprosyreview.org/article/76/3/22-0231  a220-310 v76  aGAHALAUT 20053 a<p>Plantar ulceration is the most common serious disability occurring in patients of leprosy. Growth and emergence of innovative procedures in plastic surgery has greatly revolutionized the treatment of this highly frustrating problem. In the present study, a total of 40 leprosy patients were included. These ulcers were managed using different types of local superficial flaps (advancement, rotation, transposition and first toe web flap). Majority of ulcers healed within 4 weeks and patients were discharged within 6-8 weeks postoperatively. Patients were followed up for a period of 6 months to 3 years. Ulcers recurred in only 25% of all the ulcers operated upon and we observed that management of plantar ulcers by using appropriate local superficial plantar flaps is a viable option and worth trying in view of low incidence of recurrence and relatively shorter duration of hospital stay.</p>  a0305-7518