01786nas a2200349 4500000000100000008004100001260001300042653001500055653001000070653003000080653001100110653000900121653001800130653002000148653001100168653001200179653000900191653001600200653003900216653001400255653001500269653001700284100001200301700002500313245016300338856005900501300001000560490000700570050003200577520081300609022001401422 1989 d c1989 Dec10aAdolescent10aAdult10aCombined Modality Therapy10aFemale10aFoot10aFoot Diseases10aGlucocorticoids10aHumans10aleprosy10aMale10aMiddle Aged10aPeripheral Nervous System Diseases10aSensation10aSkin Ulcer10aTibial Nerve1 aRao K S1 aSiddalinga Swamy M K00aSensory recovery in the plantar aspect of the foot after surgical decompression of posterior tibial nerve. Possible role of steroids along with decompression. uhttp://leprev.ilsl.br/pdfs/1989/v60n4/pdf/v60n4a06.pdf a283-70 v60 aInfolep Library - available3 a

In leprosy, involvement of the posterior tibial nerve leads to sensory loss in the plantar aspect of the foot. As a result plantar ulcers are common and lead to deformity and disability. Restoration of plantar sensation can prevent ulcer formation. Posterior tibial decompression was done for the recovery of sensation in the plantar aspect of the foot. Seventy-two patients under went decompression on 84 feet, 25 received steroids pre- and post-operatively. The recovery of sensation was better if surgery was done before 6 months of onset of anaesthesia. Decompression along with steroids gave better results than decompression alone in patients with active neuritis especially in BT cases whereas in BB, BL and LL cases there was no significant improvement of sensation. The results are discussed.

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