Abstract
Introduction: Post polio paralytic deformities pose a unique challenge and each individual case needs tailor made treatment strategies to optimize function. In this group of patients limb deformity is commonly associated with shortening. Ilizarov fixator was routinely used by us until the introduction of Taylor Spatial frame in 2005. We present the results of TSF in the management of this special group of patients.
Methods: This study is a retrospective review of five patients who underwent deformity correction with TSF. There is a great variation in age from 16 – 65 yrs. We identified two femoral frames, one tibial frame and three foot frames (one patient had bifocal treatment of ipsilateral tibia and foot). There were three female and two male patients.
Results: We achieved complete target correction and lengthening in all patients. We recorded six episodes of pin track infection (Grade 1). There were no episodes of regenerate failure. Follow up ranged from 2 – 18 months and during this time there was no recurrence of deformities. Clinically all patients reported overall improvement in limb function as a result of deformity correction.
Conclusions: We found TSF to be very accurate in correcting post polio deformities. Complications are comparable to Ilizarov fixators. Problems were encountered with x-ray visualization. Repeated calculation and close supervision is essential to get the best results.
Correspondence should be addressed to: S. Dhar, BLRS, c/o BOA, The Royal College of Surgeons, 35–43 Lincoln’s Inn Fields, London WC2A 3PE.
