01298nas a2200277   4500000000100000008004100001260000900042653001500051653001400066653003100080653001100111653002300122653001200145653002100157653003000178653001900208653001700227653001400244100001400258700001700272245007200289300001100361490000600372520062800378022001401006       1991                            d  c199110aAmputation10aCalcaneus10aFoot Deformities, Acquired10aHumans10aJoint Dislocations10aleprosy10aMetatarsal Bones10aMetatarsophalangeal Joint10aOsteoarthritis10aTarsal Bones10aToe Joint1 aCarayon A1 aChevallard A00a[Progression towards dislocations of foot bone lesions in leprosy].  a379-880 v73 a<p>From a series of 211 tarsal, medio-tarsal and metatarso-phalangeal dislocations, the authors, after having recalled the lesion mechanism, adopted a classification and gave a place to preventive conservative surgery in 52 cases. The early forms can have early limited arthrodesia. The developed lesions present indications of arthrodesia--isolated reconstruction or associated to spongy or cortico-spongy bone grafts. The late forms impose amputation even when the forefoot seems of good bone quality because the metatarsal-phalangial stiffness is the cause for the failure of the Wladimiroff-Mickulicz interventions.</p>  a0001-5938