Plantar ulcers present a serious problem in the management of leprosy. After studying the mechanism of ulceration and the causes of their indolence, it appears that the treatment of the disease by antileprotic drugs is not sufficient. The underlying causes, such as anaesthesia, bony deformities and paralysis, should usually be treated by surgical means. Anaesthesia can be reversed by decompression of the posterior tibial nerve if this is done early. Deformities should be corrected by procedures on the soft tissues or bones, and chronic infection eradicated to prevent recurrence of the ulceration. A combination of procedures may sometimes be needed.
BT - International orthopaedics C1 - http://www.ncbi.nlm.nih.gov/pubmed/3744636?dopt=Abstract CN - RAO1986 DA - 1986 DO - 10.1007/BF00267744 IS - 2 J2 - Int Orthop LA - eng N2 -Plantar ulcers present a serious problem in the management of leprosy. After studying the mechanism of ulceration and the causes of their indolence, it appears that the treatment of the disease by antileprotic drugs is not sufficient. The underlying causes, such as anaesthesia, bony deformities and paralysis, should usually be treated by surgical means. Anaesthesia can be reversed by decompression of the posterior tibial nerve if this is done early. Deformities should be corrected by procedures on the soft tissues or bones, and chronic infection eradicated to prevent recurrence of the ulceration. A combination of procedures may sometimes be needed.
PY - 1986 SP - 75 EP - 8 T2 - International orthopaedics TI - Surgical treatment of plantar ulcers in leprosy. VL - 10 SN - 0341-2695 ER -