Flaps That Should Not Be Used in Plantar Ulcers in Leprosy

Free tissue transfer for trophic ulcer complicating leprosy

“…It is a pathological process with loss of tissue, underlying osteomyelitis, loss of or decreased sensation, and decreased blood supply. [3] Patients managed with rest and dressings have some foci of residual inflammation, and recur soon after the patient is mobilized. [4] For smaller defects, the best method of resurfacing plantar ulcers is use of local tissue.…”

“…Innervated microvascular flaps are generally not done in leprosy because the recipient nerve is also likely to be involved in the disease process and the flaps have very less chance of even getting protective sensations. [3] Use of end-to-end anastomosis while performing free flaps in leprosy utilizes one of the major limb vessels and has the potential to worsen the already existing condition of ischemia. It is therefore advisable to go for end-to-side anastomosis.…”

Free tissue transfer for trophic ulcer complicating leprosy

“…It is a pathological process with loss of tissue, underlying osteomyelitis, loss of or decreased sensation, and decreased blood supply. [3]…”

Identification of mycobacteria isolated from the contents of trophic ulcers of leprosy patients

“…В 70-90% случаев язвы располагаются на подо-швенной поверхности стопы. По мнению ряда авто-ров [1,3], ведущая роль в возникновении нейротро-фических язв стоп у больных лепрой отводится специфическому невриту, приводящему к анесте-зии кожи. В то же время другим определяющим па-тогенетическим фактором развития трофических язв при лепре (как и при сахарном диабете) являют-ся сосудистые нарушения [4,5].…”