Traditional surgical decompression of the posterior tibial nerve yields equivocal results. The authors postulate that the posterior tibial artery is the most compromised structure in the neurovascular compartment and that the best surgical results in healing of plantar ulcers are achieved by the rechannelling of the blood flow in the posterior tibial artery during posterior tibial neurovascular compartment surgery. This procedure has been of benefit to patients with plantar ulcers of greater than 7-10 years' duration in whom all other modes of healing had failed. It has been undertaken as an outpatient procedure under local anaesthesia, supported by postoperative vasodilator drugs. The use of tourniquet, antibiotics and surgical interference with the ulcer per se was eschewed. A report of 156 patients is presented with follow-up of up to 6 years for the earlier cases.
BT - Leprosy review C1 - http://www.ncbi.nlm.nih.gov/pubmed/7731341?dopt=Abstract CN - Infolep Library - available DA - 1995 Mar DO - 10.5935/0305-7518.19950007 IS - 1 J2 - Lepr Rev LA - eng N2 -Traditional surgical decompression of the posterior tibial nerve yields equivocal results. The authors postulate that the posterior tibial artery is the most compromised structure in the neurovascular compartment and that the best surgical results in healing of plantar ulcers are achieved by the rechannelling of the blood flow in the posterior tibial artery during posterior tibial neurovascular compartment surgery. This procedure has been of benefit to patients with plantar ulcers of greater than 7-10 years' duration in whom all other modes of healing had failed. It has been undertaken as an outpatient procedure under local anaesthesia, supported by postoperative vasodilator drugs. The use of tourniquet, antibiotics and surgical interference with the ulcer per se was eschewed. A report of 156 patients is presented with follow-up of up to 6 years for the earlier cases.
PY - 1995 SP - 48 EP - 54 T2 - Leprosy review TI - Vascular surgery of the posterior tibial compartment for plantar ulceration in leprosy. UR - http://leprev.ilsl.br/pdfs/1995/v66n1/pdf/v66n1a07.pdf VL - 66 SN - 0305-7518 ER -