Call: +91-740-834-6710 eMail: dr.g.l.arora@gmail.com

Bone & Joint Clinic Noida Logo

Deformity Correction & Rehabilitation Clinic

by Dr Gurcharan Lal Arora

Image of knee joint shown for Total Knee Joint replacement

Poliomyelitis Deformities Treated

Poliomyelitis Deformity Treatment Delhi, Noida, NCR

Emergency Treatment Available : Yes

Any Age Limit : No

Follow-up Required : Yes

Digital X-ray Available: Yes

Hospitalization Required :Yes (2 to 4 Days)

Blood Sample Collection facility : Available

Physiotherapy Treatment : Yes, Required & Available (Well Equipped Physiotherapy Department)

About the Procedure : Please check the Procedure Description Box below 

Poliomyelitis is caused by the viral infection causing cold, diarrhea and fever at first which then leaves the flaccid paralysis behind. That is why known as post-polio residual paralysis.

The most commonly affected area is the lower limb, the upper limb (arms) are affected less commonly than legs. The soft limbs later become tighter and contractures develop thus giving them a shape of deformity. These deformities need to be treated in order to improve the quality of life of the patient as well as to make them walk independently.

Most common causes of deformities that occur in Polio are

 

1. Shoulder muscle weakness

2. Back muscles weakness, which leads to Scoliosis (C or S-shaped curvature of the spine).

3. Severe weakness of the muscles of the whole lower limb (thigh, knee, and leg)

4. Foot drop occurs (the patient is unable to move his/her foot upward).

5. The muscles of the affected area get reduced in size thus the affected limb appears much thinner than the unaffected one.

6. So the deformities occur in different positions where the muscle gets shortened and weak.

7. Due to severe muscle imbalance and weakness the joint dislocations also occur and if not treated well in time, then they get deformed in the same position.

Surgeries For Poliomyelitis Deformity Correction

1. Tendon transfer surgeries – The weak muscles are given a strong, healthy tendon and the movement is regained.

 

2. Arthrodesis – The bones are fused together to provide better stability to the child. This is done in cases of the unstable knee or unstable foot.

 

3. Limb length Correction Surgery – The limb length is asymmetrical in many polio cases, which is then corrected by the limb length correction surgery in order to eliminate limping.

 

4. Deformity Correction – The deformities like the excessive bending of the knee, excessive bending of the hip, Frog-position, foot-drop etc are treated with the surgeries and the correction is maintained by the use of orthosis in the recovery period.

 

5. Correction by Osteotomy – The bones are shaped in such a way that the deformity is corrected and the patient is able to use the muscles around it too.

 

6. Tendon Lengthening – This is done mostly in cases of foot drop or other foot deformities. The Tendon is slit and the healing is allowed to take place in a lengthened position thus correcting the deformity.

 

7. Knock Knees Correction – If the knees are pointed inside, then it is known as the knock knees. It is corrected by using the osteotomy (bone-reshaping) technique.

 

Question 1. Can a deformity be corrected even after a long time?

Answer. Yes, the deformity can still be corrected but the recovery process will be much longer than the early deformity cases.

 

Question 2. Can a child with polio walk without orthosis?

Answer. It depends upon the level of paralysis he/she had. In mild paralysis cases, the child can walk without the assistance of orthosis. While in moderate to severe polio cases, the orthosis may not wear-off completely, but their usage and dependency decrease to a much greater level.

 

Question 3. Is surgery the only option of treatment?

Answer. After Dr. G L Arora’s surgery, the calipers/braces are rarely needed. So it is the best treatment option for moderate deformity cases. 

 

Question 4. How much time will be spent in the hospital after surgery?

Answer. Around 3 to 5 days will be spent in the hospital after surgery on an average. The time varies with the type of surgery.

 

Question 5. Will the exercise be needed after surgery?

Answer. Yes, to complete the rehabilitation process physiotherapy is a must.

 

Question 6. Will I be able to do my exercises at home?

Answer. Yes, you will be able to do your exercises at home. They will be taught to you after the initial phase of physiotherapy.

 

Question 7. Can surgery make me independent?

Answer.  Many of the patients have become independent and more than 50 boys & girls are socially accepted as well. They are now living a happy married life.

 

ABOUT US

PAIN RELIEF STORIES ABOUT DR SUMEET BADHWAR

SOCIAL LINKS

LOCATE US

B-84A, B-Block, Sector 31, Noida, Uttar Pradesh 201301

Call Now