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 tra...

The transiliac method of leg lengthening uses a modification of Salter's innominate osteotomy. The bone graft increases the length of the hemipelvis distal to the sacro-iliac joint. Leg-length inequality in 23 patients was treated by this method with an average gain in length of 2.8 cm (2.0 to 3.5). Apart from one residual femoral nerve palsy there were no notable complications. The facility to...

We classified fixed pelvic obliquity in patients after poliomyelitis into two major types according to the level of the pelvis relative to the short leg. Each type was then divided into four subtypes according to the direction and severity of the scoliosis. In 46 patients with type-I deformity the pelvis was lower and in nine with type II it was higher on the short-leg side. Subtype-A deformity...

We reviewed our experience with a modified triple innominate osteotomy for hip instability and limb shortening due to poliomyelitis in 62 adolescent and adult patients, treated from 1973 to 1990. Their ages at surgery ranged from 12 years to 35 years (average 22.3). At a mean follow-up of 4 years (2 to 18) 59 of the patients (95.2%) had substantial improvement in hip stability, and all but one ...

conclusions we report of loss of achieved length after lengthening with a telescopic nail. weight bearing before complete consolidation of the regenerate might be a risk factor for that. thorough examination of the limb length and careful evaluation of the radiographs are required in the follow-up period. the precice nail system requires the same vigilance like the other intramedullary systems ...

RATIONALE Pelvic malunion is a rare complication and is technically challenging to correct owing to the complex three-dimensional (3D) geometry of the pelvic girdle. Hence, precise preoperative planning is required to ensure appropriate correction. Reconstructive surgery is generally a 2- or 3-stage procedure, with transiliac osteotomy serving as an alternative to address limb length discrepanc...