Is there a role for total ankle replacement in polio patients?: A case report and review of the literature.
Although poliomyelitis is almost eradicated, as orthopaedic surgeons we occasionally encounter residual deformities in patients who suffered the disease in the past. An equino-varus deformity of the foot is the commonest deformity seen. In this report we present a 53 years old lady who had poliomyelitis as a child and presented with a painful, degenerate ankle and 12 degrees of varus deformity. CT confirmed advanced degenerative changes. The management options included realignment and fusion, supramalleolar ostoetomy or total ankle replacement. In view of the satisfactory active range of motion and advanced OA confirmed by CT scan we considered the option of total ankle replacement. To our knowledge this has never been reported before. At two and half years follow up the patient showed satisfactory functional results (AOFAS score 88/100) and high satisfaction. Plain radiographs revealed a well aligned joint with no evidence of loosening or osteolysis.
Leeds Teaching Hospitals NHS Trust, Chapel Allerton Hospital, Harehills Lane, Leeds, West Yorkshire LS7 4SA, United Kingdom. samermorgan@yahoo.com
Samer S
SS
Morgan
Benjamin
B
Brook
N J
NJ
Harris
D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D058737:Arthroplasty, Replacement, Ankle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010003:Osteoarthritis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011051:Poliomyelitis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D016059:Range of Motion, Articular; D014057:Tomography, X-Ray Computed