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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
PubMed

Insights

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.

Keywords:
Drop footHansen diseaseLeprosyNeuropathyUlcers

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