Poliomyelitis: Orthopaedic management

Summary 

Although poliomyelitis has been eradicated in most parts of the world, orthopaedic surgeons occasionally encounter residual deformities in patients who suffered the disease in childhood. An understanding of the causative factors and the available treatment options are essential before surgical intervention is contemplated. It is also well recongnised that post-polio syndrome occurs in those who suffered poliomyelitis 20–40 years ago.

It is important to note that inadequate or improper surgical intervention can potentially lead to more disability; a well-planned approach to the particular part of the body affected by polio, after considering the patient as a whole and understanding the principles involved, is the best option.

Keywords: Post-polio syndrome, Paralysis, Orthopaedics, Orthosis, Surgery