Padilla-del CKN, Rivas-Meléndez R, Méndez-Ortiz JA, Miramontes-Hernández AS, Robledo-González JL

Language: Spanish
References: 12
Page: 27-31
PDF size: 198.47 Kb.

ABSTRACT

Introduction: poliomyelitis paralyzed thousands of children during the 20th century. However, due to mass vaccination its eradication was achieved. Today it is estimated that there are 12 - 20 million people with polio sequelae (PWPS) who make up a risk group for pathological fractures, as a consequence of muscle degeneration and osteopathy. There is no consensus on its treatment. The aim of this report is to demonstrate the problem of fracture management in PWPS. Additionally, an option for the treatment of a periprosthetic fracture in this population is proposed. Presentation of case: 46-year-old male PWPS with pain in the right lower extremity after falling from a chair, with a history of right hip arthroplasty six months ago due to a transcervical fracture. Radiographically, a Vancouver C periprosthetic fracture is seen. Open reduction of the fracture is performed and an anatomical cable-type locking compression plate and cerclage cables are placed. An adequate radiographic evolution is observed. Conclusions: polio is an eradicated disease; however, it should not be ignored since PWPS are a risk group for fractures in pathological terrain. Treatment of these types of fractures and their complications is a challenge. There is a pressing need for comprehensive clinical and surgical guidelines to guide their approach.

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