[Reflections on the treatment of acropathia ulcerans et mutilans; interest of a removable appliance (author's transl)].
The authors report their experience in the treatment of acquired ulcerating and mutilating trophic lesions of the lower limbs. Ligature of the dorsalis pedis artery and of its collaterals did not give good results, according to the pathogenic concept of the authors, in which lesions of the nervous system predominate over vascular alterations. More important lesions (such as osteo-arthritis of the first and fifth metatarsals) require immobilization of the axis of the wounded toe, control of any superinfection and use of a plastic removable limb appliance.
D005528:Foot / Q000098:blood supply; D005531:Foot Deformities, Acquired / Q000209:etiology / Q000628:therapy*; D005533:Foot Dermatoses / Q000150:complications / Q000628:therapy; D006801:Humans; D007871:Leg Ulcer / Q000628:therapy; D008026:Ligation; D009989:Orthotic Devices / Q000706:statistics & numerical data; D010003:Osteoarthritis / Q000150:complications; D014456:Ulcer / Q000628:therapy*
Réflexions sur le traitement des acropathies ulcéro-mutilantes. Intérêt d'un appareillage amovible.