Salvage procedures in post-polio residual paralysis (PPRP) with or without arthritis

Abstract

Poliomyelitis is a rare disease at present, but presentation with its sequalae is not uncommon. In this study we are presenting 5 different cases with 5 different deformities in lower limb, who were managed with arthrodesis, tendon transfer, and osteotomies in combination. All the 5 patients were satisfied with their gait and pain relief after surgery compared with pre-operative status. All patients were followed for period of 2 years post operatively, no major complications were encountered. In conclusion, because of gross muscle power compromise replacement surgeries will not give good results in post residual paralysis patients, so salvage procedures definitely improve the performances of patients with painful unstable joints.