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Profile of Reconstructive Surgery Cases in Leprosy in Central UP - India: Experience of PPP Model

Keywords: Leprosy , Reconstructive surgery

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Abstract:

109 cases of leprosy were identified in the camps usingprivate public partnership (PPP) between nongovernmentaland governmental organizations. Thepatients were admitted and operated free in theDepartment of Physical Medicine and Rehabilitation andPlastic Surgery, Chhatrapati Shahuji Maharaj MedicalUniversity, Lucknow during 2007-08. 75.2% were malesand 24.8% females. Maximum cases (81.7%) werebetween 11 to 40 years. Overall illiteracy was 68.8%.89.9% were having hand lesions with equal distributionin either hands in 32 cases each. Clawing of both handswas observed in 28 cases. Foot lesions were seen in 18cases out of which nine cases each were of foot dropand plantar ulcer. In 84 cases (77.1%) Dermolipectomywith or without Zancolli procedure was performed. TibialisPosterior transfer was done in nine cases of foot drop.The nine cases of plantar ulcer were treated by properlocal dressing followed by below knee Plaster of Pariscast with walking iron (weight relieving) followed by PTBcalliper with MCR padded open shoes. PPP helpedidentify more patients and get help to avail free treatmentincluding surgery done at the government hospitalincluding travel and food expenses paid by the nongovernmentalorganization.

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