Ghulam Mustafa Kaimkhani, Manzoor Ahmed Memon, Parwaiz Anjum, Mushtaq Ahmed Quraishi.
Correction of post-polio residual deformities of hip & knee joints by conventional methods
Pak J Surg Apr - Jun 2004;20(1):27-30.
Dow Medical College & Civil Hospital, Karachi

This prospective study was conducted in Orthopaedic Unit-I of Civil Hospital, Karachi from Jan. 2000 to Dec. 2002 to find out the prevalence of post polio residual deformities in our society and to assess the outcome of corrections done by conventional methods. A total of 50 cases were seen during the study period. Of these 35 were male and 15 females. Minimum age of onset of the disease was six months while maximum age was six years. The deformity was seen commonly in the lower socio-economic group coming from urban slum areas. Hip joint was involved in 35 patients whereas knee joint was involved in all the 50 cases. Fixed flexion deformity was noted in 48 patients with involvement of knee and 33 cases with involvement of hip joint. In hip joint only soft tissue procedures were done to correct the deformity. On the other hand in patients with knee joint deformity Younts fasciotomy was done in 25 cases, supracondylar osteotomy of femur in eight and posterior capsulotomy in 15 patients. It is concluded that conventional methods of correction of post-polio deformities are good, economical and less cumbersome.

Category: Orthopedic Surgery
Keywords: Poliomyelitis. Fixed Flexion Deformity. Genu Recurvatum. Flail Hip.

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