Nov 20, 2012

Periacetabular osteotomy



Periacetabular osteotomy for containment of the nonarthritic dysplastic hip secondary to poliomyelitis.
Sierra RJ, Schoeniger SR, Millis M, Ganz R.
 J Bone Joint Surg Am. 2010 Dec 15;92(18):2917-23.Inselspital University of Bern, Bern, Switzerland. sierra.rafael@mayo.edu
Abstract
BACKGROUND: Poliomyelitis results in a flaccid paralysis of muscles that can lead to hip instability. The objective of this study was to determine the results of the Bernese periacetabular osteotomy in patients with paralytic hips secondary to poliomyelitis.

METHODS: Nine patients who had a Bernese periacetabular osteotomy were identified as having paralytic hip dysplasia secondary to poliomyelitis. All patients had hip pain and instability at the time of presentation. Clinical records and radiographs were reviewed.
 One patient did not return for physical examination at last follow-up.

RESULTS: The mean length of follow-up was 103 months. All patients had a decrease in the severity of pain but less improvement in function, as hip abductor muscle strength was improved in only two of the eight patients examined. 
The average postoperative Harris hip score was 80.2. All patients had an improvement 
in the extrusion index, the acetabular index, and the lateral center-edge angle. According to the Tönnis radiographic classification, three patients progressed from Grade 0 to Grade 1 and one patient progressed from
 Grade 1 to 2.

CONCLUSIONS: The correction obtained with use of the Bernese periacetabular osteotomy provides containment of the hip joint in patients with hip dysplasia secondary to poliomyelitis. The patients had a decrease in the severity of pain and less improvement in function. The results have been long-lasting and may have slowed the progression of osteoarthritis of the hip.
PMID: 21159992 [PubMed - indexed for MEDLINE]


Post Polio Litaff, Association A.C _APPLAC Mexico

Nov 18, 2012

Then, in 1998, he began to feel fatigued and sometimes fell


As a child of the 80′s (at least, that’s when I was born — I don’t remember anything in the 80′s, frankly), I have no familiarity with polio except a) I was mesmerized and terrified by a picture of children in an iron lung machine in my parents’ LIFE photo book and b) Franklin D. Roosevelt.
So I didn’t expect I’d meet — much less be assigned to photograph — a living, breathing polio survivor. Moreover, a polio survivor whose life is now consumed by symptoms of post-polio syndrome.
© 2012 by The York Daily Record/Sunday News. Emanuel Poznanski exercises his arms and legs amid the swirling waters of the therapy pool at the Harmony Ridge Wellness Center in the Cross Keys Village retirement community in New Oxford on Friday, Aug. 17. 2012. Because of his post-polio syndrome symptoms, Poznanski has lost much mobility and motor control in his arms and legs.
As you can read in Leigh’s story, Manny contracted paralytic polio when he was an infant but was able to walk by the time he was a teen.
As he told me as he exercised in the therapy pool, Manny then lived a pretty full life: lots of traveling, lots of friends.
Then, in 1998, he began to feel fatigued and sometimes fell. By 2006, he began relying on a scooter and gaining weight due to decreased mobility.
© 2012 by The York Daily Record/Sunday News. With Harmony Ridge Wellness Center wellness director Erika Nevins at the controls, Emanuel Poznanski is lifted out of the therapy pool at the Harmony Ridge Wellness Center in the Cross Keys Village retirement community in New Oxford via an aquatic lift chair on Friday, Aug. 17, 2012. Emanuel Poznanski of Las Vegas, Nev., was diagnosed with polio when he was four months old and, after years of treatments and hospital stays, seemed to recover from the symptoms by adolescence. Now in his 60s, Poznanski said post-polio syndrome — a second wave of symptoms — began affecting him in 2003, limiting his ability to walk and perform other functions. Poznanski, who attended York Suburban, returns to the York area every summer to visit friends.

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