Document Detail

Closure of simple heel ulcers by skin stretching.
MedLine Citation:
PMID:  16353524     Owner:  NLM     Status:  MEDLINE    
A majority of heel ulcers, at least to begin with, extend to dermis or to the fat pad in its superficial part and an appropriate skin closure can heal these ulcers as most of the padding is in tact. Since the skin is adherent to the deeper structures with fibrous bands it has to be stretched or undermined (by cutting the fibrous bands) to close the wound without tension. 17 feet in 11 patients (10 males; one female) in the 12-54 year age-group were operated upon and followed up. Because skin is adherent to deeper tissues by fibrous septae, stretching of skin was planned to mobilize it for a tension-free closure. Of the 17 feet, 13 could be re-examined after 30 months or more. Most of the minor recurrences were seen in the first 6 months after surgery. Major recurrences were seen in 2 feet (one case). The suture line did not show hyperkeratosis and the scar merged well into the surrounding skin after one year. Available data suggest that simple heel ulcers can be made to heal with a good scar by skin-stretching and suture, and, by radiography of the foot, it is worth separating those cases in which ulcer is not extending deep involving calcaneum. The size of the ulcer in heel is important for the success of the operation. The procedure is not intended for big wounds (>15 mm in width).
G N Malaviya
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Indian journal of leprosy     Volume:  77     ISSN:  0254-9395     ISO Abbreviation:  Indian J Lepr     Publication Date:    2005 Jul-Sep
Date Detail:
Created Date:  2005-12-15     Completed Date:  2006-01-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409173     Medline TA:  Indian J Lepr     Country:  India    
Other Details:
Languages:  eng     Pagination:  255-65     Citation Subset:  IM    
Central JALMA Institute for Leprosy, Taj Ganj, Agra.
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MeSH Terms
Foot Ulcer / pathology,  radiography,  surgery*
Heel* / radiography
Leprosy / complications*,  surgery
Middle Aged
Suture Techniques
Tissue Expansion*

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