Arthrodesis of Post Polio Residual Paralytic Shoulder
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 6
Abstract
Introduction: Poliomyelitis in children can cause paralysis of shoulder girdle muscles and this disability may be decreased to some extent increasing the stability of shoulder either by tendon and muscle transfer or by the arthrodesis of joint. Shoulder arthrodesis is indicated as a possible treatment for these children in order to stabilize the shoulder. The present study was planned in those patients with extensive paralysis of muscles around the shoulder to assess the functional rate after surgery. Material and methods: The study group included all the patients who had their initial shoulder arthrodesis done at the BIRRD over a period of five years. There were 57 operations in 57 patients for the post polio residual paralysis (PPRP) of the upper limb. Post operatively the functional skills of the extremity was conducted. Results: 32 cases attended the call back clinic out of 57 cases. In all the patients the pre-operative goal was accomplished. The mean flexion is 540 with minimum being 100 and at maximum being 1100. The mean abduction is 780 with minimum being 300 and maximum being 1000. The internal rotation range is 100-500 with average of 160. The scapulohumeral angle range is 100 to 600 the average is 42.50. Conclusion: The shoulder arthrodesis is an excellent mode of treatment for the patient with extensive muscular post polio residual paralysis around the shoulder (with normal trapezius and serratus anterior). The definite excellent results are attained by proper selection of cases and when both glenohumeral and acromio-humeral fusion is done with a broad cancellous screw and with a lag screw principle fixation.
Authors and Affiliations
Srikanth Sriramozu, Omkarnath Gudapati, Narasimha Rao KL, Jagadesh G
Keywords
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