Abstract:
BACKGROUND:Peripheral nerve involvement results in deformities in leprosy. High doses (40-60 mg) of steroids along with anti-leprosy drugs is the preferred treatment, even though 70-75% cases still develop deformity. Early surgical decompression of nerves gives better chances of preventing deformity. We have analyzed the role of early surgical decompression in such cases. MATERIALS AND METHODS:Five hundred nerves (386 ulnar, 60 median and 54 posterior tibial) not responding to the medical treatment in 12 weeks, were undertaken for external and internal nerve trunk decompression. These cases were followed up for five to 20 years at various intervals. RESULTS:The pain in nerve (neuralgia) recovered in all cases of ulnar, median and posterior tibial nerves. Full sensory recovery to pinprick and feather or cotton wool touch was seen in 50% cases of all the three nerves. Twenty percent cases maintained the preoperative levels of sensory status. Plantar ulcers healed within six months after decompression of posterior tibial nerve but six cases showed recurrence. Overall motor recovery in ulnar nerve was 89% and 70% in median nerve. CONCLUSIONS:The sensory recovery restores protective sensation which prevents secondary injuries. The improvement of motor power gives better function and improves the appearance, which in the absence of surgical intervention was not possible.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Husain S,Mishra Bdoi
10.4103/0019-5413.38586subject
Has Abstractpub_date
2008-01-01 00:00:00pages
78-82issue
1eissn
0019-5413issn
1998-3727journal_volume
42pub_type
杂志文章abstract:BACKGROUND:Tranexamic acid (TEA) reduces blood loss and red cell transfusions in patients undergoing unilateral total knee arthroplasty (TKA). However, there is not much literature regarding the use of TEA in patients undergoing bilateral TKA in a single stage and the protocols for administration of TEA in such patient...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.77135
更新日期:2011-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.121595
更新日期:2013-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
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doi:10.4103/0019-5413.114939
更新日期:2013-07-01 00:00:00
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doi:10.4103/0019-5413.106918
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doi:10.4103/0019-5413.128762
更新日期:2014-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
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doi:10.4103/0019-5413.69312
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journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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journal_title:Indian journal of orthopaedics
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更新日期:2018-03-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.54765
更新日期:2011-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.101031
更新日期:2012-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.43390
更新日期:2008-10-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_209_17
更新日期:2018-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.108912
更新日期:2013-03-01 00:00:00
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更新日期:2020-09-18 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.156228
更新日期:2015-05-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.83954
更新日期:2011-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.101037
更新日期:2012-09-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.173514
更新日期:2016-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.55977
更新日期:2009-10-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.45324
更新日期:2009-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 社论
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更新日期:2020-04-08 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.33678
更新日期:2007-07-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
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更新日期:2017-11-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.185602
更新日期:2016-07-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
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更新日期:2017-01-01 00:00:00
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journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.125487
更新日期:2014-01-01 00:00:00
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pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00