02200nas a2200361   4500000000100000008004100001260001300042653001500055653001000070653000900080653001100089653002200100653003100122653001100153653001200164653000900176653001600185653001200201653002000213653002000233653001200253653001000265653002200275100001300297700001100310700001200321245008500333300001100418490000700429050001600436520137200452022001401824       2007                            d  c2007 Sep10aAdolescent10aAdult10aAged10aFemale10aFollow-Up Studies10aFoot Deformities, Acquired10aHumans10aleprosy10aMale10aMiddle Aged10aMyanmar10aQuality of Life10aTendon Transfer10aTendons10aTibia10aTreatment Outcome1 aIshida Y1 aLwin S1 aMyint K00aFollow-up of tibialis posterior transfer surgery (TPT) for drop-foot in leprosy.  a219-260 v76  aISHIDA 20073 a<p>Prevention of Disability (POD) service needs to be expanded for future reducing the leprosy burden. Tibialis Posterior Transfer Surgery (TPT) is an established procedure and relatively easy to do at district level general hospitals. It can protect further damages of affected foot and consequently reduce patient's social burden as well. Totally 70 TPT surgeries were done during a joint project of JICA on leprosy control and basic health service in Myanmar for training purpose (Jan/2002-Jan/2006). A follow-up assessment was done for exploring the effectiveness of foot drop surgery, in Nov/2006 at 9-selected townships in Mid-Myanmar. 33 cases (Male 22, Female 11) were reviewed and the mean of follow up period was 29.1 months (SD=7.1, 10-48 months). Total results were; good: 25 cases (76%), fair: 4 cases (12%) and poor: 4 cases (12%). In good and fair cases, patients were satisfied with the results and TPT improved the QOL of patients. In almost all cases (32/33, 97%) after TPT, patients are free from plantar ulcer. Most serious complication of operation (4 cases, 12%) identified was inversion deformity due to loosed tension of lateral tail of grafted TP tendon sutured to Extensor Digitorum Longus. From the results of TPT surgery follow-up, it can benefit much to the patients if resources permit to make it as a routine service in more places.</p>  a1342-3681