Orthopedic Surgical Foot Management in Hansen Disease

The Orthopedic Clinics of North America
Jose Carlos Cohen, Silvana Teixeira de Miranda

Abstract

Hansen disease remains a common problem worldwide with 750,000 new cases diagnosed each year. Nerve injury is a central feature of the pathogenesis because of the unique tendency of Mycobacterium leprae to invade Schwann cells and the peripheral nervous system, that can be permanent and develop into disabilities. The orthopedic surgeon has an important role in the management of neuropathy, performing surgical release of the tibial and common peroneal nerves in potentially constricting areas, thus providing a better environment for nerve function. In cases of permanent loss of nerve function with drop foot, specific tendon transfers can be used.

References

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Apr 17, 2008·Clinical Orthopaedics and Related Research·Adolfo VigasioGreta Prestini
Jan 9, 2015·Clinical Microbiology Reviews·Cassandra White, Carlos Franco-Paredes

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