01196nas a2200253   4500000000100000008004100001260000900042653001600051653001800067653002500085653001800110653001100128653002300139653001200162653001800174653001700192100001400209700001700223245009600240300001100336490000700347520057400354022001400928       1990                            d  c199010aArthrodesis10aBone Diseases10aBone Transplantation10aFoot Diseases10aHumans10aJoint Dislocations10aleprosy10aTarsal Joints10aTime Factors1 aCarayon A1 aChevallard A00a[Course of bone lesions of leprosic feet towards dislocation of the tarsus and metatarsus].  a579-820 v763 a<p>The authors have observed 135 dislocations of the tarsus in leprosic feet. They recall the mechanism of the lesion and propose a classification. 42 cases were operated on to prevent further deformities. When early treated limited arthrodeses may be beneficial in some cases. In more severe cases rebuilding arthrodesis alone or associated to cancellous bone grafting is indicated. In very severe cases amputation is only indicated because the Wladimiroff-Mickulicz technique as well as grafts lead to failures related to the metatarsophalangeal joints stiffness.</p>  a0035-1040