Leprosy Mailing List – March 29, 2018
Ref.: (LML) Treatment of Trophic Foot Ulcers in Leprosy
From: Ben Naafs, Munnekeburen, the Netheralnds
Dear Colleagues,
This paper was send to us by José Augusto da Costa Nery, Rio de Janeiro. It may serve to start a discussion on foot ulcer treatment and the importance of controlled trials. We must realise that nearly all treatment works thanks to the extra attention the patient given.
The treatment of ulcers with polyhexanide solution is well known for infected wounds and controlled trials are rare. With foot ulcers stretch, pressure and tangential forces are important causatives for ulcers and prevent the healing. Released, from these pressures nearly all wounds heal provided no osteomyelitis is underneath.
We hope to hear your experience and may be you have done controlled trials that are not published but are valuable sharing.
Best wishes,
Ben Naafs
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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