Transiliac Leg Lengthening in Poliomyelitis

The development and widespread use of a prophylactic vaccine significantly reduced the incidence of poliomyelitis. At present we more commonly encounter with poliomyelitis sequelae especially in developing countries. We evaluate the results of a modified innominate osteotomy for leg length discrepan...

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Main Authors: Taghi Baghdadi, Javad Gorji, Seyed Mohammad Javad Mortazavi, Mohammad Aref Mohammadi, Soroush Baghdadi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2009-10-01
Series:Acta Medica Iranica
Subjects:
Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/3615
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author Taghi Baghdadi
Javad Gorji
Seyed Mohammad Javad Mortazavi
Mohammad Aref Mohammadi
Soroush Baghdadi
author_facet Taghi Baghdadi
Javad Gorji
Seyed Mohammad Javad Mortazavi
Mohammad Aref Mohammadi
Soroush Baghdadi
author_sort Taghi Baghdadi
collection DOAJ
description The development and widespread use of a prophylactic vaccine significantly reduced the incidence of poliomyelitis. At present we more commonly encounter with poliomyelitis sequelae especially in developing countries. We evaluate the results of a modified innominate osteotomy for leg length discrepancy in poliomyelitis. Instead of triangular bone graft as in Salter’s innominate osteotomy , a trapezoidal bone graft from the ilium is inserted in the site of osteotomy after gradual distraction of the limb. 25 patients (9 males and 16 females) with mean age of 25 years (17-37 years) were treated by this method. All of them had poliomyelitis with limb shortening. At a mean follow-up of 7 years (3 months to 17 years) an average of 3 cm (2.5-3.5) was achieved. Complication was seen in three patients including injury to the lateral cutaneouns nerve of thigh and displacement of osteotomy in two patients .except in one all of the patients satisfied with the operation. We believe this method is safe, effective and cost-benefit for treating of moderate shortening of the lower limb in poliomyelitis.
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spelling doaj.art-7fb835b647af4b8f89b95be93250cb562022-12-21T23:31:45ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942009-10-01475Transiliac Leg Lengthening in PoliomyelitisTaghi Baghdadi0Javad Gorji1Seyed Mohammad Javad Mortazavi2Mohammad Aref Mohammadi3Soroush Baghdadi4Department of Orthopaedic, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Orthopaedic, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Orthopaedic, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Orthopaedic, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.Department of Orthopaedic, Imam Khomeini Hospital, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.The development and widespread use of a prophylactic vaccine significantly reduced the incidence of poliomyelitis. At present we more commonly encounter with poliomyelitis sequelae especially in developing countries. We evaluate the results of a modified innominate osteotomy for leg length discrepancy in poliomyelitis. Instead of triangular bone graft as in Salter’s innominate osteotomy , a trapezoidal bone graft from the ilium is inserted in the site of osteotomy after gradual distraction of the limb. 25 patients (9 males and 16 females) with mean age of 25 years (17-37 years) were treated by this method. All of them had poliomyelitis with limb shortening. At a mean follow-up of 7 years (3 months to 17 years) an average of 3 cm (2.5-3.5) was achieved. Complication was seen in three patients including injury to the lateral cutaneouns nerve of thigh and displacement of osteotomy in two patients .except in one all of the patients satisfied with the operation. We believe this method is safe, effective and cost-benefit for treating of moderate shortening of the lower limb in poliomyelitis.https://acta.tums.ac.ir/index.php/acta/article/view/3615Transiliac leg lengtheningleg lengtheninglimb length discrepancypostural imbalance
spellingShingle Taghi Baghdadi
Javad Gorji
Seyed Mohammad Javad Mortazavi
Mohammad Aref Mohammadi
Soroush Baghdadi
Transiliac Leg Lengthening in Poliomyelitis
Acta Medica Iranica
Transiliac leg lengthening
leg lengthening
limb length discrepancy
postural imbalance
title Transiliac Leg Lengthening in Poliomyelitis
title_full Transiliac Leg Lengthening in Poliomyelitis
title_fullStr Transiliac Leg Lengthening in Poliomyelitis
title_full_unstemmed Transiliac Leg Lengthening in Poliomyelitis
title_short Transiliac Leg Lengthening in Poliomyelitis
title_sort transiliac leg lengthening in poliomyelitis
topic Transiliac leg lengthening
leg lengthening
limb length discrepancy
postural imbalance
url https://acta.tums.ac.ir/index.php/acta/article/view/3615
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AT seyedmohammadjavadmortazavi transiliacleglengtheninginpoliomyelitis
AT mohammadarefmohammadi transiliacleglengtheninginpoliomyelitis
AT soroushbaghdadi transiliacleglengtheninginpoliomyelitis