Gahalaut Pratik, Pinto Jerome, Pai Ganesh S, Kamath Jagannath, Joshua Thangam V
Department of Dermatology, Venereology and Leprology, Kasturba Medical College, Mangalore, India.
Lepr Rev. 2005 Sep;76(3):220-31.
Plantar ulceration is the most common serious disability occurring in patients of leprosy. Growth and emergence of innovative procedures in plastic surgery has greatly revolutionized the treatment of this highly frustrating problem. In the present study, a total of 40 leprosy patients were included. These ulcers were managed using different types of local superficial flaps (advancement, rotation, transposition and first toe web flap). Majority of ulcers healed within 4 weeks and patients were discharged within 6-8 weeks postoperatively. Patients were followed up for a period of 6 months to 3 years. Ulcers recurred in only 25% of all the ulcers operated upon and we observed that management of plantar ulcers by using appropriate local superficial plantar flaps is a viable option and worth trying in view of low incidence of recurrence and relatively shorter duration of hospital stay.
足底溃疡是麻风病患者中最常见的严重致残情况。整形手术中创新术式的发展与出现极大地变革了这一极具挑战性问题的治疗方法。在本研究中，共纳入了40例麻风病患者。这些溃疡采用不同类型的局部浅筋膜瓣（推进瓣、旋转瓣、移位瓣和第一趾蹼瓣）进行处理。大多数溃疡在4周内愈合，患者术后6 - 8周出院。对患者进行了6个月至3年的随访。在所有接受手术的溃疡中，仅有25%复发，并且我们观察到，鉴于复发率低且住院时间相对较短，采用合适的局部足底浅筋膜瓣治疗足底溃疡是一种可行的选择，值得一试。
