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제목 |
Surgical Treatment of Foot Ulcer in Hansen's Disease |
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저자 |
Sung YuI Ahn, M.D., Ki Hwan Hwang, M.D.#, Hyang Joon Park, M.D.## |
소속 |
Ahn's Plastic and Estethic Surgery Clinic. Seoul. Korea., Department of Plastic Surgery, Kangbuk Samsung Hospital. Seoul, Korea#, Department of Dermatology. Dankook University Hospital . Cheonan. Korea## |
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년도 |
1999 |
권 |
32 |
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호 |
1 |
번호 |
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시작페이지 |
1 |
끝페이지 |
15 |
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첨부 |
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요약 |
Damages to the sensory, autonomic and motor nerves in leprosy patients
are followed by anesthesia . dryness of the skin and muscular paralysis .
Most plantar ulcers in leprosy patients are caused by repetitive moderate stress .
Minor injuries such as bruising sustained
as a result of the misuse of anesthetic limbs may lead to ulceration. scar formation and secondary infection .
Cellulitis develops and destroys subcutaneous tissue ,
resulting in an infection which can reach the bone .
As a result of osteomyelitis , bone is absorbed ,
sequestra are extruded and the architecture of the foot is destructed.
The most common sites of the plantar ulceration are over the
metatarsal heads the base of the fifth metatarsal ,
the base of the proximal phalanx, and the calcaneus .
During the past 9 years, we treated 85 patients
with ulcers located on the sole and the dorsum of the foot , and lower third of the leg. To prevent osteomyelitis and amputation of the lower leg,
we performed various treatment modalities such as free and pedicle naps .
skin grafts, and mechanical stretching devices of the skin (e.g., Sure Closure, Plunderm, etc)o as well as consistent vacuum-assisted closure .
We obtained satisfactory results in most cases . We report detailed results and related references .
Key word : foot ulcer . leprosy, nap , mechanical creep , graft
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내용 |
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