With the advance of chemotherapy of leprosy, the necessity of surgical treatment is in-creasing. To resolve the problem of supplying the artificial legs to the amputated patients in Kikuchi-Keifuen, statistical conditions of patients and the biological examinations of amputated ends were examined.
The results are as following:
Total patients examined were 114. Amputation of both legs were 33; neural type 71 (male 47 and female 24) and lepromatous type 43 (male 24 and female 19).
(1) Malum perforans pedis is the cause of amputation in most neural and lepromatous patients.
(2) In most cases amputation was carried out in the middle or a lower third part.
(3) In a half cases, the patients complained of neuralgia, pressure or knock pains.
(4) In a half cases, the amputated ends underwent ulcer.
(5) In leprosy patients the development of the muscles due to prothesis was not observed and atrophy of the muscles was remarkable. The consistence of the muscles are 0 in 15 (31.8 %) and the average 5.6 and 0 in 14 (43.0%) and the average 5.6 of 32 lepromatous patients. In both types the consistence remarkably decreases.
(6) The regular decrease of temperature of the amputated ends were not observed. In lepromatous type the average 3.7°C decrease was observed compared with non-amputated side.
(7) By Wade-Takagaki method, attention should be paid to perspiration in the amputated ends.
(8) By X-ray examination the changes are not simple and consist of variations.
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