Recurrent plantar ulceration is a common and serious complication occurring consequent to impairment of the tibial nerve in leprosy patients. In spite of many therapies and long therapeutic course, it is extremely difficult to abolish this complication in many cases because of extensive skin and soft tissue cushion loss due to repeated infection. Since the early 70's we have been using microscopic surgical techniques to reconstruct the ulcerated area using eight types of the flaps. In this series of papers we review our experience (76 patients). Post-operatively, the flaps survived in all cases, the long-term results have proved satisfactory, and recurrent ulceration occurred in only three patients.
BT - Indian journal of leprosy C1 - http://www.ncbi.nlm.nih.gov/pubmed/10626235?dopt=Abstract CN - Infolep Library - available DA - 1999 Jul-Sep IS - 3 J2 - Indian J Lepr LA - eng N2 -Recurrent plantar ulceration is a common and serious complication occurring consequent to impairment of the tibial nerve in leprosy patients. In spite of many therapies and long therapeutic course, it is extremely difficult to abolish this complication in many cases because of extensive skin and soft tissue cushion loss due to repeated infection. Since the early 70's we have been using microscopic surgical techniques to reconstruct the ulcerated area using eight types of the flaps. In this series of papers we review our experience (76 patients). Post-operatively, the flaps survived in all cases, the long-term results have proved satisfactory, and recurrent ulceration occurred in only three patients.
PY - 1999 SP - 285 EP - 95 T2 - Indian journal of leprosy TI - Techniques for covering soft tissue defects resulting from plantar ulcers in leprosy: Part I--General considerations and summary of results. VL - 71 SN - 0254-9395 ER -