Key result
Salvage procedures including arthrodesis, tendon transfers, and osteotomies provided satisfactory pain relief and gait improvement in all 5 patients with post-polio residual paralysis.
Why the study?
Poliomyelitis is rare at present, but presentation with its sequelae is not uncommon.
Do salvage procedures improve gait and pain in patients with post-polio residual paralysis?
Case Report (n=5)
No
Do salvage procedures improve gait and pain in patients with post-polio residual paralysis?
Salvage procedures such as arthrodesis, tendon transfer, and osteotomies can effectively improve gait and relieve pain in patients with post-polio residual paralysis and unstable joints.
May support individualized salvage surgery in refractory post-polio cases; leaves open need for prospective trials before wider adoption.
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.
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Benguluri et al. (2021) conducted a case report in Post-polio residual paralysis (PPRP) with or without arthritis (n=5). Salvage procedures (arthrodesis, tendon transfer, and osteotomies) vs. Pre-operative status was evaluated on Pain relief and improvement in gait. Salvage procedures including arthrodesis, tendon transfers, and osteotomies provided satisfactory pain relief and gait improvement in all 5 patients with post-polio residual paralysis.
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