A Four Pronged Avant-Garde Approach [Chowdhry’s Regimen] to Forefend Below Knee Amputation in a Patient of BL Hansen’s Disease Having Associated Complications

Sundeep Chowdhry, Priya, Ashok Meena, Rupesh Sahu, Tapan Dhali and Paschal D’Souza

Department of Dermatology, ESI-PGIMSR and ESIC Medical College, India

^*Correspondance to: Priya 

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Abstract:

Trophic ulcers, mutilation of digits, auto amputation are common sequelae in patients of leprosy sometimes warranting limb amputation as a life saving measure to avoid potential sepsis. Not only does it increase the morbidity in affected patients but also weighs heavily on the economical status, quality of life, social and mental well being of the patient and the health system of the country. We have documented here a four pronged strategy which was used to salvage the lower limb of a patient who had extensive multiple trophic ulcers with mutilation of digit and uncommon occurrence of sinuses, who was advised to undergo below knee amputation of the affected limb by orthopedicians and surgeons unanimously. Patient undergoing treatment by this approach improved dramatically thereby not only forefending the need of amputation but also conserving its functionality. Such an approach of management can be extensively used in the management of many such patients leading to not only salvaging the limb but also to improve the life quality of such patients.

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Cite the Article:

Chowdhry S, Priya, Meena A, Sahu R, Dhali T, D’Souza P. A Four Pronged Avant-Garde Approach [Chowdhry’s Regimen] to Forefend Below Knee Amputation in a Patient of BL Hansen’s Disease Having Associated Complications. Clin Case Rep Int. 2020; 4: 1142.