Orthopedic Surgical Foot Management in Hansen Disease
Orthopedic Surgical Foot Management in Hansen Disease
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DOI：
10.1016/j.ocl.2019.11.012
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发表时间：
2020-04-01
影响因子：
1.8
通讯作者：
de Miranda, Silvana Teixeira
中科院分区：
文献类型：
--
作者：
Cohen, Jose Carlos;de Miranda, Silvana Teixeira
汉森病仍然是世界范围内的常见问题，每年诊断出75万例新病例。神经损伤是发病机制的中心特征，因为麻风分枝杆菌具有侵入许旺细胞和周围神经系统的独特倾向，这可能是永久性的并发展成残疾。整形外科医生在神经病变的管理中发挥着重要作用，在潜在的狭窄区域进行胫神经和腓总神经的手术松解，从而为神经功能提供更好的环境。在神经功能永久性丧失的情况下，可以使用特定的肌腱转移。
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.