Pre- and post-surgical evaluation of the impact on Hansen disease sequealae patients’ quality of life submitted to orthopedic surgery for closure of chronic plantar ulcers

•Study with 92 people after surgical treatment of chronic leprosy plantar ulcers.•Surgical treatment reduced several indicators of low quality of life.•The regular use of shoes and insoles prevented the recurrence of these lesions. Leprosy is a chronic infectious disease that still persists as a pub...

Full description

Saved in:

Bibliographic Details
Published in:	Acta tropica Vol. 249; p. 107019
Main Authors:	João, Francisco Mateus, Pennini, Silmara Navarro, Garnelo, Luíza, Vasconcelos, Zanair Soares, Talhari, Sinésio, Facundo do Valle, Marcello, de Oliveira, Guilherme Miranda Silva, Ortiz, Jessica Vanine, da Silva, Arinéia Soares, de Morais, Rômulo Freitas, Guerra, Maria das Graças Vale Barbosa, Guerra, Jorge Augusto de Oliveira
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier B.V 01-01-2024
Subjects:	Chronic plantar ulcers Leprosy Mycobacterium leprae Orthopedic surgery Leprosy Mycobacterium leprae Orthopedic surgery Chronic plantar ulcers
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	•Study with 92 people after surgical treatment of chronic leprosy plantar ulcers.•Surgical treatment reduced several indicators of low quality of life.•The regular use of shoes and insoles prevented the recurrence of these lesions. Leprosy is a chronic infectious disease that still persists as a public health problem in Brazil. Plantar ulcers are serious complications due to leprosy neuropathy and intensify the isolation and stigma of these individuals. The difficulty in closing these lesions associated with the fetid odor negatively impact the quality of life of people with these lesions. Objective: To evaluate the clinical, socioeconomic conditions, degree of satisfaction and quality of life (QoL) of patients after healing of chronic ulcers on feet submitted to orthopedic surgery. This is a qualitative, exploratory, descriptive and observational study carried out with 92 people after surgical treatment of chronic leprosy plantar ulcers. These patients were submitted to a semi-structured questionnaire raising questions of an epidemiological, socioeconomic and perception of quality-of-life order, comparing before and after the surgical procedure. Decrease in indicators - alcohol consumption, tobacco consumption, average monthly cost of analgesic medications, fetid wound odor, foot pain and number of dressings performed weekly; Recurrence of lesions in 55.4 % of cases, related to irregular use or lack of shoes and insoles; Improvement in self-perception of Quality of Life (QoL) in 89.1 % of patients after surgery. Orthopedic surgical treatment with resection of plantar bony prominences and skin grafting is an effective therapeutic method for closing chronic plantar ulcers in leprosy, resulting in a decrease in the financial costs employed and in an important improvement in the Quality-of-Life parameters of the individuals undergoing to this procedure. The availability and regular use of shoes and insoles is crucial to prevent recurrence of these injuries.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 ObjectType-Undefined-3
ISSN:	0001-706X 1873-6254
DOI:	10.1016/j.actatropica.2023.107019