01117nas a2200205   4500000000100000008004100001260001200042653001400054653001900068653001200087653001500099653001100114100001300125700001700138245005900155300001200214490000700226520066400233022001400897       2020                            d  c04/202010aDrop foot10aHansen disease10aleprosy10aNeuropathy10aUlcers1 aCohen JC1 ade Miranda S00aOrthopedic Surgical Foot Management in Hansen Disease.  a279-2910 v513 a<p>Hansen disease remains a common problem worldwide with 750,000 new cases diagnosed each year. Nerve injury is a central feature of the pathogenesis because of the unique tendency of Mycobacterium leprae to invade Schwann cells and the peripheral nervous system, that can be permanent and develop into disabilities. The orthopedic surgeon has an important role in the management of neuropathy, performing surgical release of the tibial and common peroneal nerves in potentially constricting areas, thus providing a better environment for nerve function. In cases of permanent loss of nerve function with drop foot, specific tendon transfers can be used.</p>  a1558-1373