Leprosy Mailing List – August 11, 2015
Ref.: (LML) plantar ulcers – survey new events
From: Wim Theuvenet, Apeldoorn, the Netherlands
Dear Pieter,
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Thanks to Dr Jingquan Wang (LML, July 16, 2015) for bringing up the issue again!!
A lot of energy is spent on the classification of plantar ulcers while our understanding of the causative factors still seems incomplete when one dares to look beyond the loss of protective sensation. Biomechanics and socioeconomic factors are often also involved! It may therefore be far too simplistic to speak of simple or complicated ulcers and effective measures to prevent most recurrences are still lacking.
Whatever intervention is planned, it should be based upon a more complete understanding of the problem, and evaluation including the ulcer-free interval, is in general recommendable.
Wishing Dr Jingquan all success,
Willem Theuvenet
Plastic Reconstructive and Hand Surgeon
LML - S Deepak, B Naafs, S Noto and P Schreuder
LML blog link: http://leprosymailinglist.blogspot.it/
Contact: Dr Pieter Schreuder << editorlml@gmail.com
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