01574nas a2200277 4500000000100000008004100001260000900042653003700051653002100088653001100109653001200120653003200132653001300164653002500177653002000202653001400222653002800236653001700264100001400281700001700295245011000312300001000422490000600432520084400438022001401282 1990 d c199010aDemocratic Republic of the Congo10aHospitals, Rural10aHumans10aleprosy10aNerve Compression Syndromes10aNeuritis10aOrthopedic Equipment10aPalliative Care10aParalysis10aProstheses and Implants10aSurgicenters1 aVulliet F1 aTschibangu P00a[Treatment and rehabilitation of disabilities caused by leprosy at a rural hospital (Kapolowé, Zaïre)]. a225-80 v73 a

Since 1985, we contribute to treat and rehabilitate the leprosy infirmities at Kapolowe District Hospital (Shaba, Zaire). The setting up of a permanent autochtonous Department (Tschibangu), has taken the place of the temporary expeditions. A first follow-up refers to 138 patients, on which 259 interventions have been done: 165 refer to foot ulcerations and theirs septic osteoarticular complications, 75 relate to neuritis, 8 only have been restorative interventions. 75% of our patients have had a good social reinsertion. The 25% relapses show the importance of a good limb prosthesis, of sanitary education of the patients and their supervision when they go back to brushwood. In the initial period, it is necessary to start by performing in cleanliness surgery, otherwise bright restorative interventions would be inefficient.

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