Leprosy â Prosthetic implications

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Objectives • A couple of cases • Infectious agent • Presentation • Impact on nerves, bones • Look at Cases in Toronto • <strong>Prosthetic</strong> devices • Mention of the Foot • Case quiz • Encourage a field trip 2
Case 1. 38 M from Viet Nam. • Left BKA – old prosthesis, choked, swollen. • Note skin lesions and hand involvement Case 2 – 40 M from Gambia • Age 20 presented with ulceration over lateral malleolus. Subsequent foot drop due to peroneal nerve neuropathy. No other findings. 3
Page 1: Leprosy - Prosthetic implications P
Page 5 and 6: History of Leprosy- Hansen’s Dise
Page 7 and 8: Presentation • Infects skin and p
Page 9 and 10: Presentation • Usually, skin lesi
Page 11 and 12: Bones & Nerves affected • Phalang
Page 13 and 14: Nose and throat • Muscle wasting
Page 15 and 16: Motor involvement Ulnar 15/80 8.3%
Page 17 and 18: Breakdown • Most common grip is a
Page 19 and 20: Results • Before Prosthesis • A
Page 22 and 23: A few castings….. Lower Extremity
Page 24 and 25: The Jaipur Limb. • Most similar t
Page 26 and 27: Jaipur Limb • Made of high densit

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Leprosy â Prosthetic implications