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Orthopedic Surgical Foot Management in Hansen Disease
Jose Carlos Cohen1, Silvana Teixeira de Miranda2
1Foot and Ankle Service, Federal University Hospital of Rio de Janeiro (UFRJ/HUCFF), Rua Rodolpho Paulo Rocco, 255, Cidade Universitária, Ilha do Fundão, Rio de Janeiro - RJ CEP 21941-913, Brazil.
The Orthopedic Clinics of North America
|March 7, 2020
Summary
Hansen disease causes nerve damage, leading to permanent disabilities. Orthopedic surgery can improve nerve function and manage complications like drop foot.
Area of Science:
- Neurology
- Orthopedic Surgery
- Infectious Diseases
Background:
- Hansen disease affects 750,000 people globally each year.
- Mycobacterium leprae invades Schwann cells and the peripheral nervous system, causing nerve injury.
- Nerve damage can lead to permanent disabilities.
Purpose of the Study:
- To highlight the role of orthopedic surgeons in managing Hansen disease neuropathy.
- To discuss surgical interventions for nerve decompression and functional restoration.
Main Methods:
- Surgical release of tibial and common peroneal nerves in constricting areas.
- Tendon transfer procedures for permanent nerve function loss, such as drop foot.
Main Results:
- Surgical release aims to create a favorable environment for nerve regeneration and function.
- Tendon transfers can restore function in cases of irreversible nerve damage.
Conclusions:
- Orthopedic surgical interventions are crucial for managing nerve complications in Hansen disease.
- Early surgical management can prevent permanent disabilities and improve patient outcomes.
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