[Progression towards dislocations of foot bone lesions in leprosy].
From a series of 211 tarsal, medio-tarsal and metatarso-phalangeal dislocations, the authors, after having recalled the lesion mechanism, adopted a classification and gave a place to preventive conservative surgery in 52 cases. The early forms can have early limited arthrodesia. The developed lesions present indications of arthrodesia--isolated reconstruction or associated to spongy or cortico-spongy bone grafts. The late forms impose amputation even when the forefoot seems of good bone quality because the metatarsal-phalangial stiffness is the cause for the failure of the Wladimiroff-Mickulicz interventions.
Carayon
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Institut de Léprologie Appliquée, Foundation de l'Ordre de Malte Dakar, Sénégal.
Chevallard
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D000671:Amputation, Surgical; D002111:Calcaneus / Q000473:pathology / Q000601:surgery; D005531:Foot Deformities, Acquired / Q000209:etiology* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000209:etiology* / Q000601:surgery; D007918:Leprosy / Q000150:complications*; D008682:Metatarsal Bones / Q000473:pathology / Q000601:surgery; D008683:Metatarsophalangeal Joint / Q000473:pathology / Q000601:surgery; D010003:Osteoarthritis / Q000209:etiology* / Q000601:surgery; D013639:Tarsal Bones / Q000473:pathology / Q000601:surgery; D014033:Toe Joint / Q000473:pathology / Q000601:surgery
De l'évolution vers la dislocation des lésions osseuses du pied du lépreux.