Etiology and Treatment of Plantar Ulcers

Wf, Ross

doi:10.5935/0305-7518.19620005

Cited by 4 publications

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“…The occurrence of the major proportion of ulcers in the forefoot is consistent with various studies. 2,3,4 Out of the 11 heel ulcers, 5 were found at tile edge of tile heel, which had developed from fissures. This is due to the lack of feet care in giving proper attention to the daily soaking and oil application.…”

Section: Sitementioning

confidence: 99%

“…2,3 The deformities of the feet is the most common disability. 4,5 Plantar ulcers are seen in 10-20% of the cases of leprosy. 2,3,4 These ulcers are relatively painless, very slow to heal and quick to recur.…”

Section: Introductionmentioning

confidence: 99%

“…4,5 Plantar ulcers are seen in 10-20% of the cases of leprosy. 2,3,4 These ulcers are relatively painless, very slow to heal and quick to recur. 5,6 These recurrent plantar ulceration and its complications are responsible for a progressive destruction of the feet.…”

Section: Introductionmentioning

confidence: 99%

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A Clinical Study of Plantar Ulcers in Leprosy

Subramoniam¹,

Kunjukunju²

2017

jebmh

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BACKGROUND Deformity prevention is one of the top priorities in leprosy elimination programme. Plantar ulcer and foot deformities are commonly seen in leprosy patients causing considerable physical disability. This can be prevented by early and regular MDT, proper practice of feet care, correction of deformities and management of infections. The study was to assess the above factors contributing to the development and recurrences of plantar ulcers among our leprosy patients. MATERIALS AND METHODS 66 leprosy patients with plantar ulcers were evaluated for delay of treatment, practice of feet care, site of ulcer, concomitant deformities and bone changes. Identification of infective agent is done by culture and sensitivity test. RESULTS Majority of patients belonged to the borderline spectrum. Delay in starting anti-leprosy treatment ranged from 2 months to 12 years. The main reasons for the delay in treatment are the patients ignored the lesions because they are asymptomatic or treatment with other modalities like homeo/ayurvedic drugs. 92% of patients studied were not practicing feet care. Common site of ulcer was beneath the heads of metatarsals and big toe. Foot drop was seen in 15% and claw toes in 33%. Osteomyelitis observed in 20% of patients. Common pathogen isolated was staphylococcus seen in 75% of cases followed by Streptococcus and Klebsiella. 50% of Staphylococci isolated were found to be penicillin resistant. CONCLUSION The occurrence of plantar ulcers and its complications are not an inevitable sequelae of leprosy and is totally preventable if appropriate measures are undertaken.

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Section: Sitementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Clinical Study of Plantar Ulcers in Leprosy

Subramoniam¹,

Kunjukunju²

2017

jebmh

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“…Wooden ones can be made fr om a wooden packing case by a jobbing carpenter as shown on the diagram (Fig. 3), and shod with car tyre or made like the Karigiri shuffle board described by Ross (1962).…”

Section: Walking Appliancementioning

confidence: 99%

Plaster Casts

WARREN¹

1971

Leprosy Review

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A step-by-step description is given of a method of applying a plaster of Paris walking cast that can be performed by one technician with minimal assistance. Plaster of Paris walking casts are recommended for the treatment of foot ulcers in leprosy. They are also an essential part of the treatment of tarsal-bone disintegration in leprosy. To be effective, a cast must be strong, light, and well fitted so that it does not rub and cauSe an abrasion which, because of anaesthesia, may remain unnoticed until a deep ulcer has developed. Since a plaster applied to an oedematous leg or foot becomes loose as the swelling subsides, steps should be taken to reduce swelling before the walking plaster is applied.

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Surgical treatment of plantar ulcers in leprosy

Rao

Jena

1986

International Orthopaedics

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Plantar ulcers present a serious problem in the management of leprosy. After studying the mechanism of ulceration and the causes of their indolence, it appears that the treatment of the disease by antileprotic drugs is not sufficient. The underlying causes, such as anaesthesia, bony deformities and paralysis, should usually be treated by surgical means. Anaesthesia can be reversed by decompression of the posterior tibial nerve if this is done early. Deformities should be corrected by procedures on the soft tissues or bones, and chronic infection eradicated to prevent recurrence of the ulceration. A combination of procedures may sometimes be needed.

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Etiology and Treatment of Plantar Ulcers

Cited by 4 publications

References 0 publications

A Clinical Study of Plantar Ulcers in Leprosy

A Clinical Study of Plantar Ulcers in Leprosy

Plaster Casts

Surgical treatment of plantar ulcers in leprosy

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