Hirzel C, Millan J, Boucher P, Naudin J C, Diouf B
Acta Leprol. 1986 Jan-Mar;4(1):79-92.
to prevent the appearance of plantar ulcerations and then mutilations, by going in the field in order to: make suitable footwear, educate the patients, train the paramedical staff. Means: 1 fitted lorry, 1 physiotherapist, 1 shoemaker, and 1 educator.
In one year, 206 patients have been provided with shoes and followed up. Advice have been taken exactly in the leper villages in which the attendance rate is of 98%; this rate varies between 47 to 70% in the all-purpose dispensaries. Paramedical workers of all-purpose Health Centers did not take great interest in this action. After 6-12 months under observation: 84% of good results for the feet without deformity or slightly deformed; 51% for the deformed feet. The results are quite satisfactory for the feet without plantar ulcer at the beginning, and that whatever the food deformity stage. But for the feet wounded by plantar ulcer at the beginning, 33% of recovery have been reported after wearing these shoes.
通过实地开展以下工作来预防足底溃疡进而预防肢体残缺：制作合适的鞋具、对患者进行教育、培训辅助医务人员。方法：1辆改装货车、1名物理治疗师、1名鞋匠和1名教育工作者。
在一年时间里，为206名患者提供了鞋子并进行了随访。在麻风病村庄中，建议得到了切实采纳，那里的出勤率为98%；在综合诊疗所，这一比率在47%至70%之间。综合健康中心的辅助医务人员对这一行动兴趣不大。经过6至12个月的观察：足部无畸形或轻度畸形的患者中，84%取得了良好效果；足部畸形的患者中，这一比例为51%。对于一开始没有足底溃疡的足部，无论足部畸形处于何种阶段，结果都相当令人满意。但对于一开始就有足底溃疡的足部，据报告穿这些鞋子后有33%的恢复率。
